Isolated Multifocal Sclerosing Thyroiditis: Case Report

Abstract

<p class="MsoNormal"> <span lang="EN-GB">Multifocal fibrosclerosis is a very rare fibroproliferative syndrome involving multiple organ systems.</span><span lang="EN-GB"> </span><span lang="EN-GB">In our report we present the case of multifocal sclerosing thyroiditis characterized by multiple fibroelastic foci similar to breast “radial scar”, </span><span lang="EN-GB">which</span><span lang="EN-GB"> can be misdiagnosed as multifocal papillary carcinoma. </span><span lang="EN-US">The diagnosis of multifocal sclerosing thyroiditis, in according with Armed Forces Institute of Pathology (AFIP) textbook on thyroid tumors, was made only after histo</span><span lang="EN-US">logical and himmunohistochemical examination. We consider the multifocal sclerosing thyroiditis as the first stage of multifocal IgG4-related sclerosing disease for the presence of IgG4 within fibrosclerotic tissue of thyroid. Total body CT-scan and plamatic IgG4 levels must be investigated in order to exclude or confirm the presence of systemic disease.</span><span lang="EN-US"><o:p></o:p></span> </p