頁籤選單縮合
題 名 | 全身系統性惡性淋巴瘤合併甲狀腺淋巴瘤=Systemic Lymphoma Involving Thyroid Gland: A Case Report |
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作 者 | 陳曉蓮; 陳白蓮; 吳篤安; 林宏達; | 書刊名 | 中華民國內分泌暨糖尿病學會會訊 |
卷 期 | 12:1=45 1998.10[民87.10] |
頁 次 | 頁18-23 |
分類號 | 415.931 |
關鍵詞 | 甲狀腺癌; 甲狀腺淋巴瘤; 橋本氏甲狀腺炎; Thyroid cancer; Thyroid lymphoma; Hashimoto's thyroiditis; |
語 文 | 中文(Chinese) |
中文摘要 | 原發性甲狀腺淋巴瘤是一種少見的甲狀腺腫瘤,它的發生率佔非淋巴結節性淋巴瘤的百分之二,而佔甲狀腺惡性腫瘤低於百分之五。我們報告一位六十八歲婦女病例,主訴陣發性高燒以及前頸部快速長大之腫塊。她有慢性自體免疫性甲狀腺疾病、甲狀腺低能症和長期甲狀腺腫的病史。甲狀腺細針穿刺細胞檢查懷疑是惡性淋巴瘤而進一步切片檢查證實此診斷。除了甲狀腺外,惡性淋巴瘤至少侵襲了肝臟、腎臟、骨髓和十二指腸的第二部份。此病例接受Endoxan, Oncovin, Adriamycin 和 Prednisolone聯合治療,一週後因腸胃道大量出血而死亡。惡性淋巴瘤病患在接受放射或化學治療前,先摘除大的腸胃道腫塊,可能是必須的。 |
英文摘要 | Primary lymphomas of thyroid gland are uncommon tumors consisting 2 % of extranodal lymphoma and less than 5% of of all malignant thyroid tumors. We present a 68-year-old woman with intermittent high fever and a rapidly enlarged thyroid mass. She had autoimmune thyroid disease, hypothyroidism and history of long-term goiter. Fine neelde aspiration cytology examination of thyroid gland gave a clue of malignant lymphoma and open biopsy confirmed the diagnosis. In addition to the thyroid gland, the lymphoma is at least involoved the liver, kidneys, bone marrow and second portion of duodenum. She died of massive bleeding from the gastrointestinal tract one week after combined therapy with endoxan, adriamycin, oncovin, and prednisolone. Extirpation of big gastrointestinal lymphoma before chemo- and/or radiotherapy may be mandatory. |
本系統中英文摘要資訊取自各篇刊載內容。