AI Article Synopsis
- The paper discusses a rare case where a plasmacytoma was found unexpectedly in a goiter during surgery for compressive symptoms like difficulty breathing and swallowing.
- A CT scan indicated that the patient's thyroid was enlarged and affected the chest area, prompting a total thyroidectomy.
- The pathology report showed fibrous tissue with plasma cells, leading to the diagnosis of plasmacytoma, suggesting it should be considered as a potential cause for enlarged thyroids.
Article Abstract
Objective: The paper presents a case of plasmacytoma unexpectedly found in a goiter. PATIENT MATERIAL AND METHODS: The patient presented with compressive symptoms, including dyspnea and dysphagia and had no documented prior history of multiple myeloma. Physical examination revealed thyromegaly with no specific nodule. Computerized tomographic (CT) scan of the neck and chest showed diffuse homogenous enlargement of both the thyroid lobes extending into the mediastinum. Total thyroidectomy was done because of the compressive symptoms.
Results: Pathology revealed evidence of fibrosis surrounding small nodules of residual follicles with massive infiltration by plasma cells. The pathologic diagnosis was plasmacytoma.
Conclusion: Plasmacytoma should be added to the list of causes of diffuse thyromegaly.
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