甲状腺淋巴瘤:临床、放射学和病理特征的相关性

Yumn H Shilli, S. Samargandy, Abdulrahman H. Shilli, Salwa I Bakhsh, R. Daghistani, Shady Alkayyat, H. Marzouki
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摘要

原发性甲状腺淋巴瘤(PTL)占所有甲状腺恶性肿瘤的5%。在本病例系列中,我们旨在回顾其临床表现,诊断和治疗。我们纳入了5例PTL患者。全部为女性(平均年龄59.8岁)。所有患者均表现为颈部迅速肿胀,仅有2例出现阻塞性症状。所有的病人都有孤立的肿块,除了一个病人有两个病变。所有病例均引起肿块效应,其中2例浸润周围组织。所有患者均被诊断为弥漫性大b细胞淋巴瘤。PTL的细胞学检查显示非典型淋巴样细胞。在我们的研究中,有4名患者接受了化疗,目前病情有所缓解。第5例在临床表现后早期死亡。其中两人做了甲状腺手术。
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Thyroid lymphoma: Correlation of clinical, radiological, and pathological features
Primary thyroid lymphoma (PTL) comprises 5% of all thyroid malignancies. In this case series, we aim to review its clinical presentation, diagnosis, and treatment. We included five PTL patients. All were females (mean age of 59.8 years). All patients presented with a rapidly growing neck swelling, and only two had obstructive symptoms. All patients had solitary masses, aside from one patient who had two lesions. All were causing mass effect and two with invasion of the surrounding tissue. All were diagnosed with diffuse large B-cell lymphoma. Cytology examination for PTL demonstrates atypical lymphoid cells. Four patients in our series had chemotherapy and currently in remission. The fifth died early after the clinical presentation. Two had thyroid surgeries.
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