Progressive severe dyspnea and hypoxia due to primary thyroid lymphoma: steroid administration may be life-saving
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Derya Köseoğlu 1 * , Alper Çağrı Karcı 1 , Aydın Acar 2 , Elvan Evrim Tuna 2 , Dilek Berker 1
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1 Ankara Numune Education and Research Hospital, Department of Endocrinology and Metabolism, Ankara, Turkey2 Ankara Numune Education and Research Hospital, Department of Otorhinolaryngology, Ankara, Turkey* Corresponding Author

Abstract

Primary Thyroid lymphoma is an uncommon malignancy, which can rarely cause severe dyspnea. Its commonly difficultly diagnosed and rapid diagnosis and management may be lifesaving. Here we report a case presented with sudden thyroid growth and severe dyspnea, who was diagnosed as primary thyroid lymphoma. A 70-year-old woman applied with fatigue, rapidly enlarged goitre and severe progressive dyspnea. She had severe hypoxemia with an artery oxygen saturation of 59.2% and arterial PO2 of 33.9 mmHg. The ultrasound of the neck showed an enlarged thyroid gland with a mass in the left lobe. After admission to the hospital her dyspnea worsened and oxygen and bronchodilator treatment gave no benefit. IV methylprednisolone was administered, and the patient’s symptoms partially improved. Meanwhile in spite of supportive therapy, the patient underwent urgent surgery for acute airway obstruction and thyroidectomy was performed. After surgery the diagnosis was high grade diffuse large B-cell non-Hodgkin’s lymphoma.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

ELECTRON J GEN MED, Volume 15, Issue 5, October 2018, Article No: em77

https://doi.org/10.29333/ejgm/94011

Publication date: 23 Aug 2018

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