Co-occurrence of papillary thyroid carcinoma and mucosa-associated lymphoid tissue lymphoma in a patient with long-standing hashimoto thyroiditis.
Co-occurrence of papillary thyroid carcinoma and mucosa-associated lymphoid tissue lymphoma in a patient with long-standing hashimoto thyroiditis.
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DOI：
10.3803/enm.2013.28.4.341
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发表时间：
2013-12
期刊：
影响因子：
--
通讯作者：
Kim IJ
中科院分区：
文献类型：
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作者：
Nam YJ;Kim BH;Lee SK;Jeon YK;Kim SS;Jung WJ;Kahng DH;Kim IJ
甲状腺乳头状癌（PTC）是甲状腺的常见疾病，占所有甲状腺癌的70%至80%，而甲状腺粘膜相关淋巴组织（MALT）淋巴瘤则不常见。同时发生两种恶性肿瘤是非常罕见的。我们报告的情况下，PTC和MALT淋巴瘤的患者在桥本甲状腺炎的设置。一位81岁的女性患者首次入院时有甲状腺肿大和声音嘶哑，这是由于超声甲状腺结节。随后的细针穿刺，解释为怀疑乳头状甲状腺癌，提示甲状腺全切除术。MALT淋巴瘤是一个偶然的术后发现，同时存在PTC的设置桥本甲状腺炎。虽然MALT淋巴瘤的发展是非常罕见的，长期桥本甲状腺炎的患者应进行仔细监测这两种恶性肿瘤。
Papillary thyroid carcinoma (PTC) is a common affliction of the thyroid gland, accounting for 70% to 80% of all thyroid cancers, whereas mucosa-associated lymphoid tissue (MALT) lymphoma of the thyroid gland is uncommon. The simultaneous occurrence of both malignancies is extremely rare. We report the case of a patient with both PTC and MALT lymphoma in the setting of Hashimoto thyroiditis. An 81-year-old female patient was first admitted with goiter and hoarseness, which was attributed to an ultrasonographic thyroid nodule. Subsequent fine-needle aspirate, interpreted as suspicious of papillary thyroid cancer, prompted total thyroidectomy. MALT lymphoma was an incidental postsurgical finding, coexisting with PTC in the setting of Hashimoto thyroiditis. Although the development of MALT lymphoma is very rare, patients with longstanding Hashimoto thyroiditis should undergo careful surveillance for both malignancies.