title: Perforation through undiagnosed small bowel involvement in primary thyroid lymphoma during chemotherapy.
abstract: A case is described of fatal perforation of the small bowel through an area of undiagnosed secondary involvement from primary thyroid lymphoma during treatment by chemotherapy. There is a known association between primary thyroid lymphoma and gastrointestinal metastases. To avoid this lethal complication, a specific search should be made for gastrointestinal involvement before chemotherapy is started in patients with advanced thyroid lymphoma.
authors.affiliation: Department of Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
authors.forename: E W
authors.initials: EW
authors.lastname: McDermott
authors.forename: N
authors.initials: N
authors.lastname: Cassidy
authors.forename: S J
authors.initials: SJ
authors.lastname: Heffernan
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000556:secondary*; D007416:Intestinal Perforation / Q000209:etiology*; D007421:Intestine, Small; D016393:Lymphoma, B-Cell / Q000150:complications / Q000188:drug therapy*; D013964:Thyroid Neoplasms / Q000188:drug therapy*