Premium
Primary Thyroid Lymphoma
Author(s) -
Kwak Jin Young,
Kim Eun-Kyung,
Ko Kyung Hee,
Yang Woo Ik,
Kim Min Jung,
Son Eun Ju,
Oh Ki Keun,
Kim Ki Whang
Publication year - 2007
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2007.26.12.1761
Subject(s) - medicine , thyroid lymphoma , thyroid , lymphoma , biopsy , radiology , fine needle aspiration , thyroidectomy , follicular lymphoma , pathology , thyroiditis
Objectives The purpose of this study was to describe the sonographic findings of primary thyroid lymphoma and evaluate the role of ultrasound‐guided biopsy in diagnosing thyroid lymphoma. Methods This study included 6 patients (age range, 56–72 years; mean, 62.5 years). We searched the database of our institution and retrospectively collected data on the thyroid lymphomas that were confirmed pathologically. All of the sonograms and medical records were reviewed retrospectively. Results All 6 patients had an enlarged neck mass and underwent ultrasound‐guided fine‐needle aspiration biopsy. The most notable sonographic feature of primary thyroid lymphoma was a marked hypoechoic mass compared with the residual thyroid tissue. Among the 6 patients with a diagnosis of thyroid lymphoma, 3 (50%) had a diagnosis of lymphoma by ultrasound‐guided fine‐needle aspiration biopsy. Final pathologic results were obtained by ultrasound‐guided core needle biopsy (3/6 patients [50%]) or thyroidectomy (3/6 [50%]). Most patients with thyroid lymphoma (5/6 [83.3%]) were found to have diffuse large B‐cell lymphoma and were treated with chemotherapy with or without radiotherapy. In 1 patient with follicular lymphoma, diagnosis and treatment were accomplished by total thyroidectomy. Conclusions Our results show that ultrasound‐guided core needle biopsy can be a safe and accurate method for diagnosing thyroid lymphoma and may be a suitable replacement for diagnostic thyroid surgery.