Matches in SemOpenAlex for { <https://semopenalex.org/work/W4280522571> ?p ?o ?g. }
Showing items 1 to 79 of
79
with 100 items per page.
- W4280522571 endingPage "S138" @default.
- W4280522571 startingPage "S138" @default.
- W4280522571 abstract "Cervical lymphadenopathy in the setting of thyroid nodules raises high suspicion of metastatic thyroid cancer. However, it is important to keep other differential diagnoses such as lymphoma in mind. We report a case of cervical lymphadenopathy in a patient with Hashimoto's thyroiditis that raised concern for thyroid cancer but was ultimately diagnosed as Hodgkin's lymphoma. A 26 year old lady with Hashimoto's thyroiditis saw endocrinology for thyroid nodules and left sided lymphadenopathy noted on a neck ultrasound done for a 3 year history of a left neck lump, due to concern for thyroid cancer. The patient reported fatigue and intentional weight loss, but no compressive symptoms. On examination, the thyroid was not palpable. The mass was mobile and soft anteriorly, but firm posteriorly. The patient reported a previous benign fine-needle aspiration (FNA) biopsy of this mass but no core biopsies. On ultrasound review, the mass corresponded to enlarged level 3 (3 x 2.15 x 2.1 cm) and level 5 (3.76 x 2.85 x 4.66 cm) lymph nodes, with a hypoechoic core, loss of fatty hilum, internal vascularity, and fine calcifications in the level 5 lymph node. On review of images, the thyroid nodules were actually pseudonodules, therefore patient was advised against a thyroid nodule biopsy. Due to the concerning ultrasound features of lymph nodes, a core biopsy of both lymph nodes was ordered. A diagnosis of classic Hodgkin's lymphoma was confirmed by presence of Reed-Sternberg cells in a background of lymphocytic infiltrate with CD30 and PAX5 staining. The patient is now being treated with ABVD chemotherapy regimen with good response. Hashimoto's thyroiditis is frequently associated with small thyroid nodules. Pseudonodules, an expression of the inflammatory infiltrate, are common in this condition. To the untrained eye, differentiation between true and pseudonodules on ultrasound can be challenging. Our patient had enlarging cervical lymphadenopathy for 3 years without a change in thyroid size but only underwent FNA biopsy due to concerns of thyroid cancer from the presumed true thyroid nodules and lymphadenopathy. The concerning features of fatty hilum loss, hypoechoic core and calcifications in enlarged lymph nodes did not match the appearance of the thyroid pseudonodules, suggesting a different pathology. Metastatic lymph nodes from thyroid cancer tend to have the same features as the malignant thyroid focus. This case highlights the importance of personal review of imaging and consideration of differential diagnoses such as lymphoma for cervical lymphadenopathy, even in the presence of concurrent thyroid disease." @default.
- W4280522571 created "2022-05-22" @default.
- W4280522571 creator A5039996782 @default.
- W4280522571 creator A5079198526 @default.
- W4280522571 date "2022-05-01" @default.
- W4280522571 modified "2023-09-26" @default.
- W4280522571 title "Abstract #1176337: Metastatic Thyroid Cancer or Hodgkin's Lymphoma?" @default.
- W4280522571 doi "https://doi.org/10.1016/j.eprac.2022.03.322" @default.
- W4280522571 hasPublicationYear "2022" @default.
- W4280522571 type Work @default.
- W4280522571 citedByCount "0" @default.
- W4280522571 crossrefType "journal-article" @default.
- W4280522571 hasAuthorship W4280522571A5039996782 @default.
- W4280522571 hasAuthorship W4280522571A5079198526 @default.
- W4280522571 hasBestOaLocation W42805225711 @default.
- W4280522571 hasConcept C121608353 @default.
- W4280522571 hasConcept C126322002 @default.
- W4280522571 hasConcept C126838900 @default.
- W4280522571 hasConcept C142724271 @default.
- W4280522571 hasConcept C151730666 @default.
- W4280522571 hasConcept C2775934546 @default.
- W4280522571 hasConcept C2776170712 @default.
- W4280522571 hasConcept C2776731575 @default.
- W4280522571 hasConcept C2778696486 @default.
- W4280522571 hasConcept C2779022025 @default.
- W4280522571 hasConcept C2779134260 @default.
- W4280522571 hasConcept C2779338263 @default.
- W4280522571 hasConcept C2779655305 @default.
- W4280522571 hasConcept C2779761222 @default.
- W4280522571 hasConcept C2779768787 @default.
- W4280522571 hasConcept C2780427545 @default.
- W4280522571 hasConcept C2780801072 @default.
- W4280522571 hasConcept C2909747305 @default.
- W4280522571 hasConcept C526584372 @default.
- W4280522571 hasConcept C530470458 @default.
- W4280522571 hasConcept C71924100 @default.
- W4280522571 hasConcept C86803240 @default.
- W4280522571 hasConceptScore W4280522571C121608353 @default.
- W4280522571 hasConceptScore W4280522571C126322002 @default.
- W4280522571 hasConceptScore W4280522571C126838900 @default.
- W4280522571 hasConceptScore W4280522571C142724271 @default.
- W4280522571 hasConceptScore W4280522571C151730666 @default.
- W4280522571 hasConceptScore W4280522571C2775934546 @default.
- W4280522571 hasConceptScore W4280522571C2776170712 @default.
- W4280522571 hasConceptScore W4280522571C2776731575 @default.
- W4280522571 hasConceptScore W4280522571C2778696486 @default.
- W4280522571 hasConceptScore W4280522571C2779022025 @default.
- W4280522571 hasConceptScore W4280522571C2779134260 @default.
- W4280522571 hasConceptScore W4280522571C2779338263 @default.
- W4280522571 hasConceptScore W4280522571C2779655305 @default.
- W4280522571 hasConceptScore W4280522571C2779761222 @default.
- W4280522571 hasConceptScore W4280522571C2779768787 @default.
- W4280522571 hasConceptScore W4280522571C2780427545 @default.
- W4280522571 hasConceptScore W4280522571C2780801072 @default.
- W4280522571 hasConceptScore W4280522571C2909747305 @default.
- W4280522571 hasConceptScore W4280522571C526584372 @default.
- W4280522571 hasConceptScore W4280522571C530470458 @default.
- W4280522571 hasConceptScore W4280522571C71924100 @default.
- W4280522571 hasConceptScore W4280522571C86803240 @default.
- W4280522571 hasIssue "5" @default.
- W4280522571 hasLocation W42805225711 @default.
- W4280522571 hasOpenAccess W4280522571 @default.
- W4280522571 hasPrimaryLocation W42805225711 @default.
- W4280522571 hasRelatedWork W1974778540 @default.
- W4280522571 hasRelatedWork W1990400512 @default.
- W4280522571 hasRelatedWork W2107377613 @default.
- W4280522571 hasRelatedWork W2417808875 @default.
- W4280522571 hasRelatedWork W2508697516 @default.
- W4280522571 hasRelatedWork W2950021439 @default.
- W4280522571 hasRelatedWork W2985686730 @default.
- W4280522571 hasRelatedWork W3189225081 @default.
- W4280522571 hasRelatedWork W4308133035 @default.
- W4280522571 hasRelatedWork W4362710716 @default.
- W4280522571 hasVolume "28" @default.
- W4280522571 isParatext "false" @default.
- W4280522571 isRetracted "false" @default.
- W4280522571 workType "article" @default.