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Title   히시모토 ( Hashimoto's ) 갑상선엽이후 발생한 갑상선 악성 임파종 1 예 ( A Case of Primary Malignant Lymphoma of the Thyroid Associated with Hashimoto's Thyroiditis )
Publicationinfo   1993 Jan; 025(01): 97-103.
Key_word   Thyroid lymphoma, Hashimotos thyroiditis
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Abstract   Primary malignant lymphomas of the thyroid is a rare disease of old women whose presenting symptoms include a rapildy enlarging, firm end painless mass often assaciated with hoarseness. The diagnosis is usually made after a thyroidectomy for a presumed poorly differentiated thyroid carcinoma. It is difficult to diagnose early and preoperatively because the disease is too rare and doesnt manifest aggressive clinical features in early stage. Unfortunately, the patients may have grave prognosis if they were diagnosed late or postoperatively. The most common premalignant condition associated with thyroid lymphoma is known as chronic autoimmune(Hashimotos) thyroiditis. Therefore, fine needle aspiration biopsy of thyroid nodules is useful as a safe and simple screening method for lymphoma of the thyroid if the patient has a diffusely abnormal thyroid or a massive nodule with evidence for Hashimotos thyroiditis. Early diagnosis using fine needle aspiration biopsy and appropriate treatment may improve pragnosis for lymphoma of the thyroid. We experienced a case of lymphoma of the thyroid occured from Hashimto's thyroiditis in a 72 year-old-female patient. She admitted to the hospital because of dyspnea and a enlarging, firm and painless thyroid mass. She had diagnosed as Hashimotos thyroiditis 2 years ago. The diffuse and large cell type of malignant lymphoma was diagnosed after total thyrodectomy and then MACOP-B chemotherapy was performed.
저 자   송소향(So Hyang Song),한제호(Je Ho Han),양철우(Chul Woo Yang),진종률(Jong Youl Jin),양진모(Jin Mo Yang),이봉수(Bong Soo Lee),안병민(Byung Min Ahn),백상홍(Sang Hong Baek),박준철(Jun Chul Park),김관형(Hwan Hyoung Kim),김석영(Suk Young Kim)