Differential diagnosis and management of airway obstruction in Riedel's thyroiditis: A case report

Sato, Katsuro; Hanazawa, Hideyuki; Watanabe, Jun; Takahashi, Sugata

doi:10.1016/j.anl.2005.05.009

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…Although the thyroid resection is very difficult due to the unclear anatomical relationship caused by RT and often results in postoperative complications, thyroidectomy should be performed for an accurate diagnosis as well as relieving trachea compression caused by RT. Some authors suggested wedge resection or isthmusectomy, instead of radical thyroidectomy, to relieve compressive symptoms and to avoid complications of hypoparathyroidism or recurrent laryngeal nerve injury [4], [13]. We support that surgical intervention is indicated for patients with compressive symptoms, failure of conservative management, or when differentiation from malignancy can not be achieved [4], [13].…”

Section: Discussionmentioning

confidence: 65%

Severe trachea compression caused by Riedel's thyroiditis: A case report and review of the literature

Ren

Qiao

2016

Annals of Medicine &Amp; Surgery

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BackgroundRiedel's thyroiditis (RT) is a rare form of chronic thyroiditis, associated with fibroinflammatory process involving the thyroid and surrounding cervical tissues, leading to compressive symptoms.Case presentationWe present a case of RT in a 73-year-old female with dyspnoea caused by severe trachea compression. She had reported dyspnoea during physical stress, and had noticed a large mass on the front of the neck. Despite the combination of various imaging modalities, the thyroid mass was not differentiated from thyroid malignancy and other thyroid disorder. Total thyroidectomy and tracheotomy were performed. During surgery, the thyroid had severe adhesion to surrounding tissue and the pathology revealed RT.ConclusionsClinicians should be aware of RT. It is important to differentiate this condition from other thyroid disorders, especially malignant lesions. Thyroidectomy is indicated for patients with compressive symptoms, suspicious malignancy and failure of conservative management.

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Section: Discussionmentioning

confidence: 65%

Severe trachea compression caused by Riedel's thyroiditis: A case report and review of the literature

Ren

Qiao

2016

Annals of Medicine &Amp; Surgery

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“…Only a few authors investigated larger historical series with histopathological features and retrospectively evaluated clinical findings and treatment outcome [1]. It is stressed that medical anti-inflammatory treatment is the first-line treatment of choice, however in failing conservative treatment, progressive airway compression or ultimately an acute airway emergency surgery may become necessary [24]. The unique series of patients presented here demonstrate the full spectrum of the typical symptoms of RT with rapid thyroid enlargement airway compression and dysphagia.…”

Section: Discussionmentioning

confidence: 99%

Riedel’s thyroiditis: impact and strategy of a challenging surgery

Lorenz

Gimm

Holzhausen

et al. 2007

Langenbecks Arch Surg

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“…The mechanism by which tamoxifen can decrease fibrosis of RT could be the stimulation of TGF-b activity. 7,14 Surgical intervention is indicated for patients with compressive symptoms, failure of conservative management, or when differentiation from malignancy cannot be achieved. Surgery for RT is technically most challenging.…”

Section: Discussionmentioning

confidence: 99%

A misdiagnosed Riedel's thyroiditis successfully treated by thyroidectomy and tamoxifen

Wang

Huang

2012

Journal of the Formosan Medical Association

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Riedel's thyroiditis, known as invasive fibrous thyroiditis, is a very rare form of chronic thyroiditis. It is hard to make the diagnosis without surgical biopsy. We present a case of Riedel's thyroiditis in a 52-year-old female with past history of Hashimoto's thyroiditis. She suffered from bilateral neck pain, which radiated to both lower jaws. The erythrocyte sedimentation rate was 125 mm/hour. Subacute thyroiditis superimposed on Hashimoto's thyroiditis was diagnosed and treated with steroid. However the response was poor and she had a history of severe peptic ulcer. To avoid inducing the peptic ulcer by steroid, she received bilateral subtotal thyroidectomy. During surgery, the thyroid had severe adhesion to surrounding soft tissue and the pathology showed Riedel's thyroiditis. The neck pain improved after thyroidectomy. Tamoxifen has been given for 8 months and the size of remnant thyroid decreased to 8 mm. We concluded that combined thyroidectomy and tamoxifen successfully cured a patient with Riedel's thyroiditis.

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Differential diagnosis and management of airway obstruction in Riedel's thyroiditis: A case report

Cited by 7 publications

References 14 publications

Severe trachea compression caused by Riedel's thyroiditis: A case report and review of the literature

Severe trachea compression caused by Riedel's thyroiditis: A case report and review of the literature

Riedel’s thyroiditis: impact and strategy of a challenging surgery

A misdiagnosed Riedel's thyroiditis successfully treated by thyroidectomy and tamoxifen

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