Diffuse thyroid enlargement and its regression in methotrexate-associated lymphoproliferative disorder: an ultrasonographic observation

Patients receiving MTX therapy may develop MTX-LPD involving the thyroid gland. Thyroid MTX-LPD may present with concomitant worsening of hypothyroidism. Ultrasonographic findings in thyroid MTX-LPD can occasionally include diffuse thyroid enlargement. MALT lymphoma may occur as the histological subtype in primary thyroid MTX-LPD. MTX-LPD is expected to regress following discontinuation of MTX. Serial ultrasonographic monitoring of thyroid size can serve as an effective guide for assessing MTX-LPD regression.

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Publication Details

Journal
Endocrinology Diabetes and Metabolism Case Reports
Published
2025-10-01
DOI
https://doi.org/10.1530/edm-25-0062
Citations
1
Primary Topic
Thyroid Disorders and Treatments
Type
article
Field-Weighted Citation Impact
1.29
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Diffuse thyroid enlargement and its regression in methotrexate-associated lymphoproliferative disorder: an ultrasonographic observation

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1 citations
Endocrinology Diabetes and Metabolism Case Reports
Thyroid Disorders and Treatments
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article

Diffuse thyroid enlargement and its regression in methotrexate-associated lymphoproliferative disorder: an ultrasonographic observation

Yukihiro Fujita, Shingo Murasawa, Makoto Daimon, Shinobu Takayasu, Kazunori Kageyama, Fumiya Isozaki
article en
1 citations

Abstract

Patients receiving MTX therapy may develop MTX-LPD involving the thyroid gland. Thyroid MTX-LPD may present with concomitant worsening of hypothyroidism. Ultrasonographic findings in thyroid MTX-LPD can occasionally include diffuse thyroid enlargement. MALT lymphoma may occur as the histological subtype in primary thyroid MTX-LPD. MTX-LPD is expected to regress following discontinuation of MTX. Serial ultrasonographic monitoring of thyroid size can serve as an effective guide for assessing MTX-LPD regression.

Endocrinology Diabetes and Metabolism Case ReportsVol. 2025(4)
Hirosaki University (JP)
Good health and well-being
Openalex Percentile: Top 13%
Thyroid Disorders and Treatments
1.29
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