Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar Hospital, Mahdia, Tunisia.
Cytopathology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Ear Nose Throat J. 2023 Oct;102(10):NP485-NP488. doi: 10.1177/01455613211024877. Epub 2021 Jun 9.
Extraganglionic Burkitt's lymphoma is rare. Primary thyroid localization accounts for 1% to 5% of malignant tumors of the thyroid gland. The association of Burkitt's lymphoma and pregnancy is even rarer. Our patient was pregnant at 36 weeks. She was brought to the emergency department with anterior cervical swelling, rapidly increasing in volume and becoming compressive for 15 days, in addition to dysphonia and inspiratory dyspnea. Cervical ultrasound and computed tomography scan revealed a compressive and plunging goiter. Surgery attempted after fetal extraction proved impossible due to massive tumor infiltration into adjacent structures shielding the cervical region. Accordingly, the act was limited to a glandular biopsy. The newborn was healthy. Histological examination confirmed the diagnosis of Burkitt's lymphoma. Given the poor general condition of the patient, chemotherapy was not administered and the patient died after 15 days of stay in intensive care unit.
神经节外伯基特淋巴瘤罕见，原发性甲状腺定位占甲状腺恶性肿瘤的 1%至 5%。伯基特淋巴瘤与妊娠的关联更为罕见。我们的患者在 36 周时怀孕。她因前颈部肿胀 15 天，迅速增大并出现压迫症状，同时伴有声音嘶哑和吸气性呼吸困难而被紧急送往急诊室。颈部超声和计算机断层扫描显示有压迫性和俯冲性甲状腺肿。在胎儿娩出后进行的手术因肿瘤大量浸润到颈部周围结构而无法进行。因此，手术仅限于进行腺组织活检。新生儿健康。组织学检查证实了伯基特淋巴瘤的诊断。由于患者的一般状况不佳，未进行化疗，患者在重症监护病房住院 15 天后死亡。
