Hodgkin's Disease Presenting as a Solitary Thyroid Nodule
作者:
RUTH HARDOFF,
RACHEL BAR-SHALOM,
MURALEE DHARAN,
RAFAEL LUBOSHITSKY,
期刊:
Clinical Nuclear Medicine
(OVID Available online 1995)
卷期:
Volume 20,
issue 1
页码: 37-41
ISSN:0363-9762
年代: 1995
出版商: OVID
数据来源: OVID
摘要:
Two patients with unusual Hodgkin's disease who initially had a painless, solitary, thyroid cold nodule are described. Fine-needle aspiration revealed lymphocytic thyroiditis in one patient and a diagnosis of Hodgkin's disease was made 1 year later. In the second patient, aspiration of the nodule demonstrated a syncytial variant of nodular sclerosis Hodgkin's disease. Both patients underwent radiologic work-up, and surgery of the thyroid was avoided. After chemotherapy, both thyroid nodules disappeared. Thyroid involvement by Hodgkin's disease may be more common than anticipated, and may present atypically as a solitary thyroid nodule. Lymphocytic thyroiditis may accompany the disease and may cause a delay in the diagnosis. Recognition of this entity and the use of fine-needle aspiration may prevent unnecessary thyroid surgery, thus maintaining intact thyroid function after therapy.
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