Thyroid lymphoma

Case contributed by Dr Hani Salam

Presentation

Rapidly growing neck mass.

Patient Data

Age: 50 years
Gender: Female
X-ray

CXR demonstrates deviation of the trachea to the right at the level of the thoracic inlet. Normal hila. Minimal right pleural effusion. 

Ultrasound

US demonstrates enlarged thyroid gland which is largely replaced by heterogenous masses with marked hypoechogenicity. Neither significant vascularity nor calcification is seen. Multiple hypoechoic lymph nodes are seen.

CT

CT scan pre contrast demonstrate loss of the inherit normal high density of the thyroid gland which is enlarged and replaced by hypo-dense masses. Post contrast study show enhancing septae within the non-enhancing enlarged thyroid gland. Multiple enlarged lymph nodes are seen as well.

Nuclear medicine

PET CT show marked activity within the enlarged thyroid gland. Small active abdominal lymph node is seen as well.

Case Discussion

Path proven thyroid lymphoma.

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Case information

rID: 13756
Case created: 13th May 2011
Last edited: 2nd Jun 2017
System: Head & Neck
Inclusion in quiz mode: Included

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