Primary thyroid tuberculosis: a rare etiology of hypothyroidism and anterior cervical mass mimicking carcinoma

Silva, Bradley Paulino da; Amorim, Érico Gurgel; Pavin, Elizabeth João; Martins, Alessandro F.; Matos, Patrícia Francisca de; Zantut-Wittmann, Denise Engelbrecht

doi:10.1590/s0004-27302009000400015

Cited by 13 publications

(6 citation statements)

References 11 publications

(1 reference statement)

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“…Consequently, the diagnosis of TT is frequently delayed and may represent an incidental finding at pathological examination. By contrast, an unnecessary thyroidectomy may occur in cases mimicking a fast-growing thyroid malignancy ( 4 , 13 ).…”

Section: Discussionmentioning

confidence: 99%

Role of ultrasound evaluation for the diagnosis and monitoring of thyroid tuberculosis: A case report and review of the literature

et al. 2014

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Thyroid tuberculosis (TT) is an extremely rare condition, with acute abscess formation being the most uncommon form of presentation. Mycobacterium tuberculosis may affect the thyroid gland through hematogenous spread from an extra-thyroid focus of disease or by direct extension from adjacent cervical lymph nodes. Due to the non-specific imaging findings and the variable clinical manifestations, TT is rarely diagnosed promptly prior to percutaneous biopsy or surgery. The present study reports the dynamic monitoring of the sonographic features of a case with thyroid tuberculosis that was diagnosed by a thyroid ultrasound (US) scan, confirmed by a US-guided core-needle biopsy and followed-up sonographically during the whole course of treatment.

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Section: Discussionmentioning

confidence: 99%

Role of ultrasound evaluation for the diagnosis and monitoring of thyroid tuberculosis: A case report and review of the literature

et al. 2014

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“…The hypothyroidism is caused by extensive glandular destruction by caseous necrosis. In the literature, only three cases of hypothyroidism due to thyroid TB have been reported yet [2, 10, 11]. …”

Section: Review Of Literaturementioning

confidence: 99%

Thyroid Tuberculosis: A Case Series and a Review of the Literature

Majid

Islam

2011

Journal of Thyroid Research

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Objective. Tuberculosis of the thyroid gland is a very rare disease. The incidence of extrapulmonary tuberculosis has been showing a progressive increase in the recent years. We present three cases of primary thyroid tuberculosis. Methods. Two cases were diagnosed on the basis of fine-needle aspiration cytology (FNAC), as they presented with thyroid nodule. The third case was diagnosed on histopathology as the patient underwent total thyroidectomy for the left-side nodule which was a follicular lesion on FNAC. Tuberculosis was diagnosed on the other lobe. Results. All three patients were given antituberculous treatment for nine months, and their nodular lesions completely resolved after treatment. Conclusion. Although rare the, thyroid tuberculosis should be kept in mind in the differential diagnosis of thyroid masses, even in patient with no history and symptom of tuberculosis disease elsewhere.

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“…T uberculosis of the thyroid gland is an extremely rare disease. 1,2 It can be misdiagnosed as thyroid cancer, thyroiditis, or multinodular goiter. 2 Here we describe one case of thyroid tuberculosis with contralateral cervical lymphadenopathy mimicking a thyroid cancer on conventional sonograms and elastograms.…”

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confidence: 99%