Tavares Bello Carlos, Cassis João, Simões Helder, Sequeira Duarte João
Endocrinology Department, Hospital de Egas Moniz, Lisboa, Portugal.
Pathology Department, Hospital de Egas Moniz, Lisboa, Portugal.
Case Rep Endocrinol. 2016;2016:8756723. doi: 10.1155/2016/8756723. Epub 2016 Dec 1.
Thyroid lymphomas are rare clinical entities that may result from either the primary intrathyroid or secondary thyroid gland involvement of a lymphoma. Among these, the Hodgkin's subtype is quite uncommon, accounting for 0.6-5% of all thyroid malignancies. The authors report on a 76-year-old female presenting with a thyroid nodule that, upon surgical excision, was found to be a nodular lymphocyte predominant Hodgkin lymphoma of the thyroid. So far, thyroid involvement by this variant has never been reported. Upon reporting on this clinical case, the authors emphasize the difficulties usually found in establishing the diagnosis and in defining the best management strategy. A thorough review of the available literature is done.
甲状腺淋巴瘤是一种罕见的临床实体,可能由原发性甲状腺内淋巴瘤或淋巴瘤继发累及甲状腺引起。其中,霍奇金亚型相当罕见,占所有甲状腺恶性肿瘤的0.6%-5%。作者报告了一名76岁女性,其甲状腺结节经手术切除后被发现是结节性淋巴细胞为主型甲状腺霍奇金淋巴瘤。迄今为止,尚未有该变异型累及甲状腺的报道。在报告这一临床病例时,作者强调了在确立诊断和确定最佳治疗策略方面通常会遇到的困难。并对现有文献进行了全面回顾。