Abdullah Ari M, Ali Rawa M, Salih Abdulwahid M, Qaradakhy Aras J, Dhahir Hardi M, Muhialdeen Aso S, Hassan Shko H, Ahmed Shaho F, Habibullah Imad J, Kakamand Fahmi H
Smart Health Tower, Sulaymaniyah, Kurdistan, Iraq.
Department of Pathology, Sulaymaniyah Teaching Hospital, Sulaymaniyah, Kurdistan, Iraq.
Radiol Case Rep. 2025 May 27;20(8):4047-4050. doi: 10.1016/j.radcr.2025.04.120. eCollection 2025 Aug.
It is unusual for 2 distinct thyroid tumors to coexist, and even rarer to observe more than 2 thyroid pathologies alongside a malignant lymph node process. This report describes a highly rare presentation of multiple thyroid diseases coexisting with an extra-thyroidal malignancy. A 32-year-old female presented with suspicious thyroid nodules and bilateral pathological lymphadenopathy on ultrasound. Fine-needle aspiration (FNA) suggested both papillary thyroid carcinoma (PTC) and Hodgkin lymphoma (HL). Histopathology confirmed multifocal papillary thyroid microcarcinomas (PTMC), hyalinizing trabecular tumor (HTT), Hashimoto's thyroiditis (HT), and HL in a cervical lymph node. Managing such cases is clinically challenging due to their rarity and variable presentations. Further research is needed to guide evaluation and treatment strategies.
两种不同的甲状腺肿瘤同时存在是不常见的，而在恶性淋巴结病变的同时观察到两种以上的甲状腺病变则更为罕见。本报告描述了一种极为罕见的情况，即多种甲状腺疾病与甲状腺外恶性肿瘤并存。一名32岁女性因超声检查发现可疑甲状腺结节和双侧病理性淋巴结肿大而就诊。细针穿刺活检（FNA）提示甲状腺乳头状癌（PTC）和霍奇金淋巴瘤（HL）。组织病理学证实为多灶性甲状腺微小乳头状癌（PTMC）、透明变小梁肿瘤（HTT）、桥本甲状腺炎（HT）以及颈部淋巴结中的HL。由于此类病例罕见且表现多样，临床处理具有挑战性。需要进一步研究以指导评估和治疗策略。
