Primary Burkitt's Lymphoma Presenting as a Rapidly Growing Thyroid Mass


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YILDIZ İ., Sen F., Toz B., Kilic L., Agan M., BAŞARAN M.

CASE REPORTS IN ONCOLOGY, vol.5, no.2, pp.388-393, 2012 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 5 Issue: 2
  • Publication Date: 2012
  • Doi Number: 10.1159/000341260
  • Journal Name: CASE REPORTS IN ONCOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.388-393
  • Keywords: Burkitt's lymphoma, Chemotherapy, Thyroid
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

A 31-year-old male patient presented with a rapidly growing neck mass with normal thyroid function tests. Ultrasonography showed thyroidal expansion, a hypoechoic nodule that completely filled the right lobe, and 2 hypoechoic lymphadenopathies in the right jugulodigastric chain. The patient underwent right total and left subtotal thyroidectomy, following the diagnosis of nodular goiter; however, postoperative histopathological evaluation demonstrated primary Burkitt's lymphoma of the thyroid gland. The tumor was staged as stage 1, and R-hyper-CVAD protocol (rituximab, hyperfractionated cyclophosphamide, vincristine, doxorubicin and dexamethasone) was administered. The protocol was changed to R-CHOP after 4 cycles due to recurrent grade III/IV cytopenias and febrile neutropenia. The PET-CT scans performed after chemotherapy and at the 6-month follow-up were normal. In summary, we reported a case with a diagnosis of Burkitt's lymphoma, which is a rare type of primary thyroid lymphoma.