原发性甲状腺恶性淋巴瘤甚少见,国内偶见有报告。我院从1988年4月～1991年7月共收住甲状腺恶性肿瘤174例,其中发现3例为原发性甲状腺恶性淋巴瘤。现报告如下。1 病例介绍例1.女性,41岁,以发现颈前肿物2个月,伴颈部压迫感、声嘶,活动时气促等于1988年4月22日入院。体检:脉率104,呼吸34,神志清楚,可平卧,双甲状腺Ⅲ°肿大;右甲状腺可触及肿物约6cm×6cm;左侧约5cm×3cm,界限不清,肿物质硬,稍固定,但可随吞咽上下移动。颈部及全身浅表淋巴结未触及肿大。同位素扫描示右叶冷结节,吸碘率正常。T_3 1.8nmol/L,T_4146.9nmol/L。B超示双甲状腺实性占位病 Primary thyroid malignancies are rare and occasionally reported in China. In our hospital from April 1988 to July 1991, a total of 174 cases of thyroid malignancies were admitted, of which 3 cases were found to be primary thyroid malignant lymphomas. The report is as follows. 1 Case Introduction 1. Female, 41 years old, found anterior cervical masses for 2 months with a sense of pressure in the neck, hoarseness, and her shortness of movement was equal to that of admission on April 22, 1988. Physical examination: pulse rate 104, breathing 34, conscious, can be supine, double thyroid enlargement of the III degree; right thyroid palpable mass about 6cm × 6cm; left about 5cm × 3cm, unclear boundary, swollen material hard, slightly Fixed but can move up and down with swallowing. Neck and whole body superficial lymph nodes did not touch enlargement. Isotope scans showed right nodule cold nodules and normal iodine uptake. T_3 1.8 nmol/L, T_4146.9 nmol/L. B ultrasound shows double thyroid solid mass disease