[Primary lymphoma of the thyroid with contralateral recurrence--case report].
Primary lymphomas located in the thyroid gland are rare clinical findings. The therapy and the subsequent monitoring of the disease continue to be a subject of debate. We present the case of a 63-year-old female patient in whom a hemi-thyroidectomy was performed because of a growing goiter. Histological examination of the excised tissue revealed a large-cell B-lymphocytic lymphoma which extended to neighboring lymph nodes. The patient received chemotherapy which led to remission of disease for two years. The disease re-occurred in the remaining thyroid lobe. Subsequently, the patient was treated with involved-field radiation therapy which lead to long term remission. We conclude that total thyroidectomy should be considered in the treatment of lymphomas located in the thyroid gland.
Pichler
R
R
Abteilung I für Nuklearmedizin, Allgemeines Krankenhaus Linz, Osterreich.
Hatzl-Griesenhofer
M
M
Huber
H
H
Wimmer
G
G
Wahl
G
G
Maschek
W
W
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002951:Citrates / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D015251:Epirubicin / Q000627:therapeutic use; D005047:Etoposide / Q000627:therapeutic use; D005260:Female; D005708:Gallium / Q000627:therapeutic use; D005710:Gallium Radioisotopes; D006801:Humans; D007069:Ifosfamide / Q000627:therapeutic use; D008223:Lymphoma / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011239:Prednisolone / Q000627:therapeutic use; D019275:Radiopharmaceuticals; D012074:Remission Induction; D013667:Technetium / Q000627:therapeutic use; D013793:Thallium / Q000627:therapeutic use; D013964:Thyroid Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D013965:Thyroidectomy; D014750:Vincristine / Q000627:therapeutic use
D002951:Citrates; D005710:Gallium Radioisotopes; D019275:Radiopharmaceuticals; C027549:thallium chloride; D015251:Epirubicin; D014750:Vincristine; D005047:Etoposide; D013667:Technetium; D003907:Dexamethasone; D003520:Cyclophosphamide; D011239:Prednisolone; D013793:Thallium; D005708:Gallium; C103850:gallium citrate; D007069:Ifosfamide; D008727:Methotrexate
Primäres Lymphom der Schilddrüse mit kontralateralem Rezidiv--Ein Fallbericht.