Dai Shengdao, Wang Danni, Feng Yucheng, Zhou Yong, Li Tao
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Mar;35(3):272-273;281. doi: 10.13201/j.issn.2096-7993.2021.03.019.
The rare entity of primary T-cell lymphoma of thyroid gland may pose great diagnostic challenges to the clinician. We report a case of malignant T-cell lymphoma of the thyroid gland that developed in a 36-year-old man with a past history of Hashimoto's thyroiditis. The chief complaint was a rapidly growing neck mass and pressure symptoms. This man, diagnosed with Hashimoto's thyroiditis for the previous several years. CT and ultrasonographic examination revealed a diffuse large thyroid gland with cervical lymphadenopathy. It was suspected that thyroid lymphoma involved regional lymph nodes. Fine needle aspiration cytology diagnosed chronic thyroiditis, and ultrasound-guided core needle biopsy was performed. Finally, peripheral T cell lymphoma was diagnosed.
甲状腺原发性T细胞淋巴瘤这种罕见实体可能给临床医生带来巨大的诊断挑战。我们报告一例甲状腺恶性T细胞淋巴瘤病例,该病例发生在一名36岁男性身上,他既往有桥本甲状腺炎病史。主要症状是颈部肿块迅速增大及压迫症状。该男子在过去几年被诊断为桥本甲状腺炎。CT和超声检查显示甲状腺弥漫性肿大并伴有颈部淋巴结病。怀疑甲状腺淋巴瘤累及区域淋巴结。细针穿刺细胞学诊断为慢性甲状腺炎,遂进行超声引导下粗针活检。最终诊断为外周T细胞淋巴瘤。