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Case Report
Online Published: 28 Mar 2025
 


Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report

Manale Otmani, Hasnae Guerrouj, Chaymae Bensaid, Ayat Mouaden, Imad Ghfir.


Abstract
Background: Patients having papillary thyroid malignancy along with lymph adenopathy may cause diagnostic dilemmas. It is important to characterize these lymph nodes as metastasic or concomitant lymphoproliferative disease. The development of papillary thyroid carcinoma (PTC) as the second malignancy has been reported frequently after neck irradiation for lymphoma treatment but their coexistence in patients without any history of radiotherapy is very unusual and has been reported only in a few cases.
Case Presentation: We present a 56-year-old female patient having thyroid nodule and cervical lymphadenopathy. The patient did not have significant past medical history, or history of neck irradiation but have intermittent signs of compression, including dysphagia and dysphonia. A neck ultrasound revealed a 3 cm solid hypoechoic nodule with suspicious features in the right lobe of the thyroid gland along with bilateral jugulodigastric and left supraclavicular lymphadenopathy. Ultrasound-guided fine-needle aspiration biopsy of the right-sided thyroid nodule revealed PTC, while supraclavicular lymph node biopsy surprisingly revealed classical Hodgkin’s lymphoma with nodular sclerosis.
Conclusion: Although in patients with cervical lymphadenopathy and concomitant thyroid carcinoma, lymphatic metastasis is the most common diagnosis, but the possibility of synchronous thyroid cancer and lymphoma should not be ignored to optimize the management.

Key words: Papillary thyroid carcinoma, synchronous, Hodgkin’s lymphoma, chemotherapy, radioiodine therapy, 18F-FDG PET-CT.


 
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How to Cite this Article
Pubmed Style

Otmani M, Guerrouj H, Bensaid C, Mouaden A, Ghfir I. Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. Pak J Nucl Med. 2024; 14(2): 77-80. doi:10.24911/PJNMed.175-1719069107

Web Style

Otmani M, Guerrouj H, Bensaid C, Mouaden A, Ghfir I. Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. https://www.pjnmed.com/?mno=206698 [Access: June 28, 2026]. doi:10.24911/PJNMed.175-1719069107

AMA (American Medical Association) Style

Otmani M, Guerrouj H, Bensaid C, Mouaden A, Ghfir I. Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. Pak J Nucl Med. 2024; 14(2): 77-80. doi:10.24911/PJNMed.175-1719069107


Vancouver/ICMJE Style

Otmani M, Guerrouj H, Bensaid C, Mouaden A, Ghfir I. Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. Pak J Nucl Med. (2024), [cited June 28, 2026]; 14(2): 77-80. doi:10.24911/PJNMed.175-1719069107


Harvard Style

Otmani, M., Guerrouj, . H., Bensaid, . C., Mouaden, . A. & Ghfir, . I. (2024) Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. Pak J Nucl Med, 14 (2), 77-80. doi:10.24911/PJNMed.175-1719069107


Turabian Style

Otmani, Manale, Hasnae Guerrouj, Chaymae Bensaid, Ayat Mouaden, and Imad Ghfir. 2024. Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. Pakistan Journal of Nuclear Medicine, 14 (2), 77-80. doi:10.24911/PJNMed.175-1719069107


Chicago Style

Otmani, Manale, Hasnae Guerrouj, Chaymae Bensaid, Ayat Mouaden, and Imad Ghfir. "Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report." Pakistan Journal of Nuclear Medicine 14 (2024), 77-80. doi:10.24911/PJNMed.175-1719069107


MLA (The Modern Language Association) Style

Otmani, Manale, Hasnae Guerrouj, Chaymae Bensaid, Ayat Mouaden, and Imad Ghfir. "Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report." Pakistan Journal of Nuclear Medicine 14.2 (2024), 77-80. Print. doi:10.24911/PJNMed.175-1719069107


APA (American Psychological Association) Style

Otmani, M., Guerrouj, . H., Bensaid, . C., Mouaden, . A. & Ghfir, . I. (2024) Papillary thyroid carcinoma revealing a synchronous Hodgkin's lymphoma: a case report. Pakistan Journal of Nuclear Medicine, 14 (2), 77-80. doi:10.24911/PJNMed.175-1719069107




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