CLL所致继发性甲状腺淋巴瘤

IF 0.4 Q4 ONCOLOGY
Suma Surya, Dinesh Kumar Sathanantham, S. P N, Srinivasan Doraiswamy
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引用次数: 0

摘要

背景:甲状腺淋巴瘤在甲状腺恶性肿瘤中是一种罕见的发现,慢性淋巴细胞b细胞(CLL-B)型甲状腺淋巴瘤更为罕见。淋巴瘤仅占甲状腺恶性肿瘤的2%,原发性甲状腺淋巴瘤仅占所有淋巴瘤的2.5%。慢性淋巴细胞b细胞(CLL-B)型甲状腺淋巴瘤(CLL-B)极为罕见,全世界仅报告4%的病例。病例介绍:一名55岁女性,主诉颈部前部肿胀。患者先前诊断为CLL,细针穿刺活检(FNAB)显示肿胀处淋巴细胞增生,分类为Bethesda II级。患者处于甲状腺正常状态,并进行了“芯针”活检以确认甲状腺淋巴细胞浸润的诊断。患者接受保守治疗,目前正在定期随访。结论:慢性淋巴细胞白血病中出现甲状腺肿胀是一种罕见的现象,建议通过活检确诊。外科医生应谨慎,不要被罕见的肿胀所欺骗,避免不必要的手术干预。保守管理一直是文献中流行的方法。本病例报告支持这种保守方法,并有助于现有文献对CLL所致甲状腺淋巴瘤的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Secondary Thyroid Lymphoma Due to CLL
Introduction: Background: Thyroid lymphomas are a rare finding among thyroid malignancies, and Chronic Lymphocytic B-cell (CLL-B) type of thyroid lymphoma is even more infrequent. Lymphomas compose only 2% of thyroid malignancies, with primary thyroid lymphomas constituting only 2.5% of all lymphomas. Chronic lymphocytic B-cell (CLL-B) type of thyroid lymphoma (CLL-B) is is exceptionally rare, with only 4% of cases ever reported worldwide. Case Presentation: A 55-year-old female presented with a complaint of swelling over the anterior part of neck. She had a pre-existing diagnosis of CLL, fine needle aspiration biopsy (FNAB)of the swelling revealed lymphocytic proliferation, classified as Bethesda grade II. The patients was in a euthyroid state and a ‘core-needle’ biopsy was performed to confirm the diagnosis of lymphocytic infiltration of the thyroid. The patient was managed conservatively and is currently under regular follow-up. Conclusions: The occurrence of thyroid swelling in CLL is a rare phenomenon, and confirming the diagnosis through biopsy is recommended. Surgeons should be cautious not to be deceived by the rarity of the swelling and avoid unnecessary surgical interventions. Conservative management has been the prevailing approach in the literature. This case report serves to support this conservative approach and contributes to the existing literature on Thyroid lymphoma due to CLL.
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
67
期刊介绍: International Journal of Cancer Management (IJCM) publishes peer-reviewed original studies and reviews on cancer etiology, epidemiology and risk factors, novel approach to cancer management including prevention, diagnosis, surgery, radiotherapy, medical oncology, and issues regarding cancer survivorship and palliative care. The scope spans the spectrum of cancer research from the laboratory to the clinic, with special emphasis on translational cancer research that bridge the laboratory and clinic. We also consider original case reports that expand clinical cancer knowledge and convey important best practice messages.
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