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Beitragstitel Primary Burkitt Lymphoma of the Thyroid with Underlying Hashimoto’s Thyroiditis: a case report
Beitragscode P18
  1. Cosima Eleanor Riemenschnitter Kantonsspital Chur Präsentierende:r
  2. Adzreil Bin Bakri Kantonsspital Chur
  3. Ulrike Gruber- Moesenbacher Kantonsspital Chur
  4. Karin Hohloch Kantonsspital Chur
  5. Claude Fischer Kantonsspital Chur
  6. Yves Brand Kantonsspital Graubünden
Präsentationsform Poster
  • SGORL FV 2019
Abstract-Text Goal:
Primary thyroid lymphoma is rare and accounts for only 1 to 2 % of all thyroid malignancies. Our aim is to raise awareness of the differential diagnosis of lymphoproliferative processes of the thyroid.

Material and Methods:
We report a case of a 71 year old lady with a 2 months history of a rapid progressive left sided neck swelling on the background of a 10 year history of Hashimoto thyroiditis. The rapid growth of her thyroid nodule raised the concern of a lymphoproliferative process, although fine needle aspiration was not suspicious (Bethesda 2). After hemithyroidectomy and histopathological examination, the diagnosis of Burkitt`s lymphoma was made and the patient was included in a randomized study providing aggressive chemotherapy.

Patients with Hashimoto thyroiditis have a higher risk of developing lymphoma, with the two diagnoses coexisting in 40-80%. Burkitt Lymphoma is a highly aggressive, rare form of non-Hodgkin's lymphoma accounting for less than 1% of all cases of primary thyroid lymphomas.
Its early diagnosis, treatment and airway considerations are important. Chemotherapy may provide complete response and can be life-saving, especially with rapidly progressing neck masses.

A fast growing nodule in the thyroid despite non-suspicious fine needle aspiration warrants a high index of suspicion and needs further investigations.