Synchronous Papillary Thyroid Cancer and Hodgkin’s Lymphoma: A Rare Case Report

Abstract

Papillary thyroid cancer is the most common thyroid malignancy. Yet it has the best prognosis. The combination of both papillary thyroid cancer and hematological malignancies is considered extremely rare. We present here a case of a young adult with a three-month history of a right neck mass, associated with night sweats and weight loss. A pan CT was done which showed multiple enlarged cervical, axillary and right inguinal lymph nodes. Fine needle aspiration of a thyroid nodule and lymph nodes was done showing a papillary thyroid cancer and high-grade malignant tumor of the lymph nodes. A multidisciplinary team was engaged with proper counseling of the patient was done. He underwent a hemithyroidectomy with an excisional biopsy of the lymph nodes. Histopathology confirmed the diagnosis of papillary thyroid microcarcinoma and Hodgkin’s lymphoma. This case delineates the extreme rarity of having synchronous incidence of papillary thyroid cancer and Hodgkin’s lymphoma, in addition to the complexity of clinical management due to the limited literature available.