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Primary Malignant Lymphoma of the Thyroid
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Primary Malignant Lymphoma of the Thyroid

Case 96-3


History/Physical Findings:

A 62-year-old white woman presented with stridor due to a neck mass which was clinically suspicious for multinodular goiter. The patient was placed on Synthroid, however, the gland continued to enlarge over the course of three weeks as evidenced by increased stridor and dysphagia. She reported a 40 pound weight loss over the previous six months. Additional symptoms included chronic fatigue and occasional chills. She reported a 36 pack year history of tobacco use.

Thyroid studies performed at the initial consultation included: total thyroxine 19.0 ug/dL (normal range=4.5-10.9 ug/dL), TSH 0.04 uIU/mL (normal range = 0.4-6.0 uIU/mL) and thyroid hormone uptake 27% (normal range = 25-35%).

Due to the compression of the trachea a total thyroidectomy was performed. The gland measured 14 x 12 x 7 cm and weighed 460 grams.

To read the entire case from the University of Virginia School of Medicine, CLICK HERE 

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