Cutaneous Ulceration in Thyroid Lymphoma

Harish, K; Murali, Sowmiya; Kilara, Nalini; Mahesh, M S; Manjunath, C

doi:10.1089/thy.2007.0322

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“…It occurs in less than 1% of all non-Hodgkin’s lymphomas 2. It commonly occurs in older women with a history of Hashimoto thyroiditis/chronic thyroiditis, commonly presenting as a rapidly enlarging mass in the thyroid leading to hoarseness, dysphasia and dyspnoea 2 – 4…”

Section: Discussionmentioning

confidence: 99%

Progressive respiratory distress due to neck mass

Parra

Kroeze²,

Die³

et al. 2009

Case Reports

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The present report describes the case of an 80-year-old woman who presented at the emergency department with progressive respiratory distress caused by a massive anterior neck mass with tracheal deviation and compression. A CT scan showed diffuse enlargement of the thyroid gland. The patient underwent a left-sided hemithyroidectomy. Pathology unexpectedly revealed a primary thyroid lymphoma. Treatment with prednisone and vincristine was initiated to reduce tumour size and preserve the airway, resulting in rapid volume reduction and airway expansion. Primary thyroid lymphoma is a rare entity that requires adequate diagnosis and rapid initiation of treatment to reduce tumour volume and to prevent airway compromise.

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Section: Discussionmentioning

confidence: 99%