PRIMARY THYROID HODGKIN’S LYMPHOMA: A CASE REPORT
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Abstract
The primary thyroid lymphomas are rare, but should be considered as differential diagnosis in patients with rapidly growing goiter. Symptoms include hoarseness, dysphagia and fever, usually related to a previous Hashimoto thyroiditis.
We present a case of a female patient in the seventh decade of life with enlargement of the thyroid gland, weight loss and dysphagia of two months duration. She was taken to operating room for total thyroidectomy with intraoperative histopathology. We found a grossly enlarged thyroid gland of 10 x 6 x 5 cm, irregular, and affection of both lobes. The frozen section of the gland by lymphoid infiltration wields no mark of malignancy, due to level VI lymph node with lymphoproliferative hyperplasia. Histopathological reports classical Hodgkin lymphoma, mixed cellularity with Reed Sternberg cells with CD 45 negative and positive only to CD30.
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