背景:PTC淋巴结转移高,影响中央和外侧淋巴结。另一方面,滤泡性淋巴瘤是西方第二常见的非霍奇金淋巴瘤,影响颈部淋巴结。
方法:一名66岁的沙特男子患有2型糖尿病和高血压,颈部两侧有颈部肿块。肿胀是进行性的,没有明显的原因,无甲状腺功能减退症或甲状腺功能亢进病史,没有宪法症状。体格检查发现多发淋巴结肿大,他的甲状腺上有坚固的肿块。
■多发性恶性肿瘤很少见,但是在PTC患者中已经记录了继发性原发癌。这两种癌症的发生通常在随访期间被检测到,并由现代成像技术辅助。PTC的主要治疗方法是手术,通常预后良好。
结论:一名66岁男性在甲状腺乳头状癌检查期间被诊断为滤泡性淋巴瘤,强调对罕见病例进行仔细淋巴结清扫和显微镜检查的重要性。
BACKGROUND: PTC has high lymph node metastasis, affecting central and lateral lymph nodes. On the other hand, follicular lymphoma is the second most frequent non-Hodgkin lymphoma in the West and affects cervical lymph nodes.
METHODS: A 66-year-old Saudi man with type 2 diabetes and hypertension presented with neck lumps on both sides of his neck. The swelling was progressive, with no apparent cause, no history of hypothyroidism or hyperthyroidism, and no constitutional symptoms. Physical examination revealed multiple lymph node enlargements and a hard, firm mass on his thyroid gland.
UNASSIGNED: Multiple malignant neoplasms are rare, but secondary primary cancers have been documented in patients with PTC. The occurrence of both cancers is commonly detected during follow-up and aided by modern imaging techniques. The main treatment for PTC is surgery, usually with a good prognosis.
CONCLUSIONS: A 66-year-old male was diagnosed with follicular lymphoma during a papillary thyroid carcinoma workup, emphasizing the importance of careful lymph node dissection and microscopic examination for rare cases.