“…Concerning our patients, we didn't notice any antecedent of Hashimot's thyroiditis, but we suggest a pre-existing chronic thyroiditis within 3 patients having a biologic hypothyroidism. The most common clinical presentation is an enlarging painless neck mass, growing rapidly between 1 and 3 months at about 70% of cases (5,7,15) and causing an obstruction of the upper airway tract in an approximately 30% of cases (12) , most often we notice a dysphagia, dyspnea, rarely it's about stridor, hoarseness, dysphonia, or vena cava obstruction (11,12,13,14,16) . In our cases, the prevalent clinical presentation was a rapid enlarging goiter causing an obstruction of the upper airway revealing by dysphonia (paralysis of vocal cord) in one case of DLBCL, and dyspnea in another two cases ; first one was about a women aged 81 years consulting with dyspnea requiring an urgent intervention of desobstruction by tracheotomy, it was a DLBCL ; and for the second case we practice a CT that objective a huge goiter associated to a bilateral lymph nodes, there were a resolution of dyspnea after treatment by corticoids and chemotherapie, it was a rare case of MCL (mantle cell lymphoma).…”