原发性甲状腺淋巴瘤3例临床分析并文献复习  

Primary thyroid lymphoma:clinical analysis of three cases and literature review

作　　者：柴春艳 张薇[2] 刘博[3] 赵媛[1] 徐邦强[1] CHAI Chun-yan;ZHANG Wei;LIU Bo;ZHAO Yuan;XU Bang-qiang(First Ward,West Area of Geriatrics Department,Shaanxi Provincial People's Hospital,Xi'an,Shaanxi 710068,China)

机构地区：[1]陕西省人民医院老年病院西院一病区,陕西西安710068 [2]陕西省人民医院病理科,陕西西安710068 [3]陕西省人民医院心血管内一科,陕西西安710068

出　　处：《中国临床研究》2021年第1期91-94,共4页Chinese Journal of Clinical Research

基　　金：陕西省自然科学基础研究计划项目(2018JM3035);陕西省重点研发计划项目(2020SF-100)。

摘　　要：目的分析3例原发性甲状腺淋巴瘤患者的临床表现及诊治经过,并对原发性甲状腺淋巴瘤的诊疗进展进行文献复习。方法整理分析陕西省人民医院2017年至2019年收治的3例原发性甲状腺淋巴瘤患者的临床表现及诊治经过。结果3例原发性甲状腺淋巴瘤患者临床表现均为无痛性甲状腺逐渐肿大,伴有不同程度的气道压迫症状,病理类型均为非霍奇金淋巴瘤弥漫大B细胞淋巴瘤。结论在甲状腺结节的诊断治疗中,应特别注意原发性甲状腺淋巴瘤的可能性,尤其是对既往患有桥本甲状腺炎的患者,更应提高警惕,其确诊需取得病理组织进行免疫组织化学检查。Objective To analyze the clinical manifestations,diagnosis and treatment of 3 cases of primary thyroid lymphoma(PTL),and review the literature on the progress of diagnosis and treatment of PTL.Methods To summarize the clinical manifestations,diagnosis and treatment of 3 PTL patients treated in Shaanxi Provincial People's Hospital from 2017 to 2019.Results The clinical manifestations of 3 patients with PTL were painless progressive thyroid enlargement,accompanied by different degrees of airway compression,and the pathological types were non-Hodgkin lymphoma diffuse large B-cell lymphoma.Conclusion In the diagnosis and treatment of thyroid nodules,special attention should be paid to the possibility of PTL,especially for the patients with Hashimoto's thyroiditis,in whom the diagnosis should be confirmed by immunohistochemistry.

关 键 词：甲状腺肿瘤 淋巴瘤 诊断 鉴别诊断 免疫组织化学 

分 类 号：R736.1[医药卫生—肿瘤]