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Primary thyroid lymphoma: Role of ultrasound-guided needle biopsy

 Jin Young Kwak  ;  Eun-Kyung Kim  ;  Ki Whang Kim  ;  Ki Keun Oh  ;  Eun Ju Son  ;  Min Jung Kim  ;  Woo Ik Yang  ;  Kyung Hee Ko 
 JOURNAL OF ULTRASOUND IN MEDICINE, Vol.26(12) : 1761-1765, 2007 
Journal Title
Issue Date
Aged ; Biopsy, Needle/methods* ; Female ; Humans ; Lymphoma/diagnostic imaging* ; Lymphoma/pathology* ; Male ; Middle Aged ; Reproducibility of Results ; Sensitivity and Specificity ; Surgery, Computer-Assisted/methods* ; Thyroid Neoplasms/diagnostic imaging* ; Thyroid Neoplasms/pathology* ; Ultrasonography, Interventional/methods*
OBJECTIVE: The purpose of this study was to describe the sonographic findings of primary thyroid lymphoma and evaluate the role of ultrasound-guided biopsy in diagnosing thyroid lymphoma. METHODS: This study included 6 patients (age range, 56-72 years; mean, 62.5 years). We searched the database of our institution and retrospectively collected data on the thyroid lymphomas that were confirmed pathologically. All of the sonograms and medical records were reviewed retrospectively. RESULTS: All 6 patients had an enlarged neck mass and underwent ultrasound-guided fine-needle aspiration biopsy. The most notable sonographic feature of primary thyroid lymphoma was a marked hypoechoic mass compared with the residual thyroid tissue. Among the 6 patients with a diagnosis of thyroid lymphoma, 3 (50%) had a diagnosis of lymphoma by ultrasound-guided fine-needle aspiration biopsy. Final pathologic results were obtained by ultrasound-guided core needle biopsy (3/6 patients [50%]) or thyroidectomy (3/6 [50%]). Most patients with thyroid lymphoma (5/6 [83.3%]) were found to have diffuse large B-cell lymphoma and were treated with chemotherapy with or without radiotherapy. In 1 patient with follicular lymphoma, diagnosis and treatment were accomplished by total thyroidectomy. CONCLUSIONS: Our results show that ultrasound-guided core needle biopsy can be a safe and accurate method for diagnosing thyroid lymphoma and may be a suitable replacement for diagnostic thyroid surgery.
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1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Jin Young(곽진영) ORCID logo https://orcid.org/0000-0002-6212-1495
Kim, Ki Whang(김기황)
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Son, Eun Ju(손은주) ORCID logo https://orcid.org/0000-0002-7895-0335
Yang, Woo Ick(양우익) ORCID logo https://orcid.org/0000-0002-6084-5019
Oh, Ki Keun(오기근)
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