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Primary thyroid lymphoma: CT findings.

Hyo-Cheol Kim1, Moon Hee Han, Keon Ha Kim

  • 1Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, Clinical Research Institute, Seoul National University Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110-744, South Korea.

European Journal of Radiology
|May 22, 2003
PubMed
Summary

Computed tomographic (CT) findings reveal primary thyroid lymphoma often presents as a rapidly enlarging mass, particularly in older females with Hashimoto's thyroiditis. This condition typically shows homogeneous, non-invasive masses on CT scans.

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Area of Science:

  • Radiology
  • Oncology
  • Endocrinology

Background:

  • Primary thyroid lymphoma is a rare malignancy.
  • Accurate CT imaging is crucial for diagnosis.

Purpose of the Study:

  • To evaluate computed tomographic (CT) findings of primary thyroid lymphoma.
  • To characterize CT appearances and aid in differential diagnosis.

Main Methods:

  • Retrospective review of clinicopathological data and CT images from nine primary thyroid lymphoma patients.
  • Classification of CT appearances into three distinct types based on nodularity and gland enlargement.

Main Results:

  • All patients presented with rapidly enlarging thyroid masses and coexistent Hashimoto's thyroiditis.

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  • CT patterns included solitary nodules (1), multiple nodules (3), and homogeneously enlarged glands (5).
  • Tumors were often isoattenuating to muscles and compressed surrounding structures without invasion.

    • Conclusions:

    • Primary thyroid lymphoma should be considered in the differential diagnosis of homogeneous thyroidal masses in older females.
    • CT findings of non-invasive, isoattenuating masses suggest lymphoma, especially with coexistent Hashimoto's thyroiditis.