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Öz

Primary thyroid lymphoma (PTL) is a rare malignancy of the thyroid gland. It usually presents itself as a very rapidly growing mass, and respiratory distress is commonly the first finding. Ultrasound guided fine needle aspiration biopsy and surgical biopsy can help with its diagnosis. The treatment is radiotherapy and chemotherapy. Surgical treatment is only indicated in cases which tracheal compression is severe. In this report, we present a primary thyroid lymphoma case, which presented with progressive respiratory distress, and dramatically went into remission with medical therapy, along with a literature review

Anahtar Kelimeler

• Thyroid lyphoma, respiratory distress, cervical mass

İlerleyici solunum sıkıntısına sebep olan Primer Troid Lenfoması: Olgu Sunumu

Öz

Primer tiroid lenfoması (PTL) tiroid bezinin nadir bir hastalığıdır. Genellikle çok hızlı büyüyen kitle olarak kendini göstermektedir, ve solunum sıkıntısı sık ilk bulgudur. Ultrason eşliğinde ince iğne aspirasyon biyopsisi ve cerrahi biyopsi teşhisi için yardımcı olabilir. Tedavi radyoterapi ve kemoterapidir. Cerrahi tedavi, sadece trakea basısı gibi ciddi durumlarda gerekir. Bu yazıda ilerleyici solunum sıkıntısı ile başvuran ve medikal tedavi ile dramatik remisyon gösteren primer tiroid lenfoma olgusu literatür derlemesi eşliğinde sunulmaktadır.

Anahtar Kelimeler

• Tiroid lenfoma, solunum güçlüğü, servikal kitle

Kaynakça

1. Yang H, Li J, Shen T. Primary T-cell lymphoma of the thyroid: case report and review of the literature. Med Oncol. 2008;25(4):462-466.
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3. Van la Parra RF, Kroeze J, van Die J, et al. Progressive respiratory distress due to neck mass. BMJ Case Rep. 2009; doi:10.1136/bcr.11.2008.1193.
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7. Takashima S, Morimoto S, Ikezoe J, et al. Primary thyroid lymphoma: comparison of CT and US assessment. Radiology. 1989;171(2):439-443.
8. Kwak JY, Kim EK, Ko KH, et al. Primary thyroid lymphoma: role of ultrasound-guided needle biopsy. J Ultrasound Med. 2007;26(12):1761-1765.

9. Ota H, Ito Y, Matsuzuka F, et al. Usefulness of ultrasonography for diagnosis of malignant lymphoma of the thyroid. Thyroid. 2006;16(10):983-987.