甲状腺原発と思われる悪性リンパ腫の1症例

概要

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Primary malignant lymphoma of the thyroid is relatively rare. A 57-year-old woman first developed a mass in the left thyroid region in 1974 at the age of fifty-four. In March 1977, she was clinically diagnosed was adenoma and hemithyroidectomy was performed. Microscopic examination revealed that the mass was Hashimoto's disease. Eight months following surgery, she complained of swelling in the right thyroid region. In October 1978, a biopsy specimen was taken from the right thyroid lobe and the histological diagnosis was non-Hodgkin lymphoma of diffuse histiocytic type (IgG, k type). The clinical stage was determined as CSIIEA on the basis of through examinations. A preoperative irradiation followed by hemithyroidectomy was performed. After the operation, chemotherapy and postoperative radiation were carried out. The patient has been free from the disease for about 9 months after the treatment. An extensive review of literature was made to cover some aspects of this disease.
耳鼻咽喉科臨床学会の論文