# Not just a goiter: Uncovering primary thyroid lymphoma

## TL;DR

This paper presents a case of primary thyroid lymphoma in a 60-year-old woman, emphasizing the importance of early diagnosis and treatment.

## Contribution

The paper contributes a clinical case study highlighting the diagnostic challenges of primary thyroid lymphoma.

## Key findings

- A 60-year-old woman presented with a rapidly enlarging thyroid mass confirmed as non-Hodgkin lymphoma.
- Fine needle aspiration and biopsy were key in diagnosing the thyroid neoplasm as lymphoma.
- The case underscores the need for early diagnosis and tailored treatment for primary thyroid lymphoma.

## Abstract

Primary thyroid lymphoma (PTL) is a rare, aggressive neoplasm of the thyroid gland that occurs most frequently in older women. We
describe a 60-year-old woman who presented to our hospital with a primarily painless, progressively enlarging neck swelling over the
previous four months. Imaging showed an enlarged thyroid gland and mass effect in the surrounding neck soft tissue. Fine needle
aspiration revealed a predominance of lymphoid cells to suggest that this hypothesized mass was a thyroid neoplasm. Biopsy of the thyroid
gland confirmed non-Hodgkin lymphoma of the thyroid. She was treated with standard CHOP chemotherapy. This case highlights the conundrum
of PTL in a rapidly enlarging mass of the thyroid gland and the need to address this early with better diagnosis and therapeutic
plan.