2010
DOI: 10.1590/s0004-27302010000400013
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Abstract: summaRyThe objective of this study was to describe the rare thyroid MALT lymphoma concomitant with papillary thyroid carcinoma in a male patient who was submitted to total thyroidectomy. Treatment and follow-up issues are addressed. Male patient complains of fast thyroid enlargement without lymphadenophaty and normal clinical exams. Total thyroidectomy was indicated and performed without any complications. The pathology showed multicentric papillary thyroid carcinoma, concomitant thyroid MALT lymphoma and Hash… Show more

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Cited by 26 publications
(22 citation statements)
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References 17 publications
(17 reference statements)
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“…In most cases of PTL, however, the diagnosis is made after a rapid growth of a thyroid-related mass often associated with compressive symptoms, e.g., hoarseness or dyspnea, and the patients are referred to surgery. The management of one does not affect the management of the other neoplasm (7); the prognosis, too, does not seem to be worsened by the coexistence of the two diseases, but rather is more likely affected by the one having the worse stage (7)(8)(9). Thus, when PTC and PTL coexist in the same patient, a careful staging of both diseases is mandatory, and treatment has to prioritize the tumor with the worse prognosis and/or the worse stage at diagnosis.…”
Section: Discussionmentioning
confidence: 99%
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“…In most cases of PTL, however, the diagnosis is made after a rapid growth of a thyroid-related mass often associated with compressive symptoms, e.g., hoarseness or dyspnea, and the patients are referred to surgery. The management of one does not affect the management of the other neoplasm (7); the prognosis, too, does not seem to be worsened by the coexistence of the two diseases, but rather is more likely affected by the one having the worse stage (7)(8)(9). Thus, when PTC and PTL coexist in the same patient, a careful staging of both diseases is mandatory, and treatment has to prioritize the tumor with the worse prognosis and/or the worse stage at diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…The other 30% comprises mucosa associated lymphoid tissue (MALT) lymphomas, which are indolent in most cases and have a better response to systemic treatment (5,6). Some cases of association between HT and both PTC and MALT lymphomas have been described (7)(8)(9), while a DLBCL in the context of coexisting HT and PTC is very rare (10).…”
Section: Introductionmentioning
confidence: 99%
“…In addition to the histopathological analysis of the thyroid tissue, an immunohistochemical staining with monoclonal antibodies should also be performed. [4] When the lymphoma is diagnosed, it should be differentiated from the systemic lymphoma that progresses with the secondary involvement of the thyroid gland. There are conflicting views about the surgical treatment of lymphomas of the thyroid.…”
Section: Discussionmentioning
confidence: 99%
“…1–3 It has been evident that thyroid MALT lymphomas occur in 0.5% of the cases with Hashimoto's thyroiditis, even after a long period of lymphocytic infiltration which reaches as long as 30 years. A concurrence with papillary thyroid carcinoma has been also reported 4,5 The clinical presentation include an enlarging neck mass, dysphagia, hoarseness, dyspnea and usually the patients are euthyroid. Most often the diagnosis is difficult, based either on the morphological or clinical characteristics and flow cytometry, Southern blotting or PCR need to be performed.…”
Section: Introductionmentioning
confidence: 95%