Thyroid Non-Hodgkin Lymphoma: Fine Needle Aspiration Cytology in the Diagnosis, Case Report

  • Catarina Roque Serviço de Endocrinologia, Diabetes e Metabolismo, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Filipa Serra Serviço de Endocrinologia, Diabetes e Metabolismo, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Hélder Simões Serviço de Endocrinologia, Diabetes e Metabolismo, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Catarina Saraiva Serviço de Endocrinologia, Diabetes e Metabolismo, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Clotilde Limbert Serviço de Endocrinologia, Diabetes e Metabolismo, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Carlos Vasconcelos Serviço de Endocrinologia, Diabetes e Metabolismo, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Celina Afonso Serviço de Hematologia2, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • F. Lima Serviço de Hematologia2, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • António Galzerano Serviço de Anatomia Patológica3, Centro Hospitalar de Lisboa Ocidental , Lisboa, Portugal
  • Sância Ramos Serviço de Anatomia Patológica3, Centro Hospitalar de Lisboa Ocidental , Lisboa, Portugal

Abstract

Concerning the tumors that affect the thyroid gland, lymphoma is a rare entity. Likewise, the thyroid is a rare site for extranodal lymphoma occurrence. Thyroid lymphoma frequently arises in a lymphocytic thyroiditis background, presenting as a rapidly enlarging goiter, which is occasionally aggressive. It leads to compressive symptoms and may significantly compromise the airways.


Choosing the right treatment requires the identification of the lymphoma subtype and knowledge about the stage of the disease at diagnosis. These factors have prognostic implications, emphasizing the need of early and accurate diagnosis. Due to overlapping features of lymphoma with thyroiditis on cytological analysis, this is not always an easy task.


The authors report a case of thyroid lymphoma and discuss the clinical features and the utility of the available diagnostic tools.

Published
Jul 6, 2017
How to Cite
ROQUE, Catarina et al. Thyroid Non-Hodgkin Lymphoma: Fine Needle Aspiration Cytology in the Diagnosis, Case Report. Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo, [S.l.], v. 12, n. 1, p. 63-67, july 2017. ISSN 2183-9514. Available at: <http://www.spedmjournal.com/index.php/spedm/article/view/84>. Date accessed: 20 sep. 2017.
Section
Clinical Cases