Unusual association of diseases/symptoms
Progressive respiratory distress due to neck mass
1 Gelderse Vallei Hospital, Surgery, Willy Brandtlaan 10, Ede, 6710HN, The Netherlands
2 Gelderse Vallei Hospital, Radiology, Willy Brandtlaan 10, Ede, 6710HN, The Netherlands
3 Gelderse Vallei Hospital, Pathology, Willy Brandtlaan 10, Ede, 6710 HN, The Netherlands
4 Gelderse Vallei Hospital, Intensive Care, Willy Brandtlaan 10, Ede, 6710 HN, The Netherlands
Correspondence to:
David H Tjan, tjand{at}zgv.nl
The present report describes the case of an 80-year-old woman who presented at the emergency department with progressive respiratory distress caused by a massive anterior neck mass with tracheal deviation and compression. A CT scan showed diffuse enlargement of the thyroid gland. The patient underwent a left-sided hemithyroidectomy. Pathology unexpectedly revealed a primary thyroid lymphoma. Treatment with prednisone and vincristine was initiated to reduce tumour size and preserve the airway, resulting in rapid volume reduction and airway expansion. Primary thyroid lymphoma is a rare entity that requires adequate diagnosis and rapid initiation of treatment to reduce tumour volume and to prevent airway compromise.
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