Thyroïdite de Riedel : aspects actuels

Périmenis, P.; Marcelli, Stefano; Leteurtre, Emmanuelle; Vantyghem, Marie-Christine; Wémeau, Jean-Louis

doi:10.1016/j.lpm.2007.07.021

Cited by 15 publications

(5 citation statements)

References 30 publications

(66 reference statements)

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“…Multifocal idiopathic fibrosclerosis is among several terms used to describe this systemic process. IFT has no standardized treatment, although most patients are treated with corticosteroids (8), tamoxifen (more recently) (9), or both (8). Objective data on these treatments, however, are lacking.…”

Section: Introductionmentioning

confidence: 99%

Invasive Fibrous Thyroiditis (Riedel Thyroiditis): The Mayo Clinic Experience, 1976–2008

Fatourechi

Hay

McIver

et al. 2011

Thyroid

114

113

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Section: Introductionmentioning

confidence: 99%

Invasive Fibrous Thyroiditis (Riedel Thyroiditis): The Mayo Clinic Experience, 1976–2008

Fatourechi

Hay

McIver

et al. 2011

Thyroid

114

113

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“…Initially, the consistency very firm, woody or stony goiter can simulate cancer (anaplastic cancer, thyroid lymphoma). Gradually, the gland attaches itself to the tissues adjacent (carotids, trachea, muscles, nerves) causing the compressive signs: dyspnea, dysphonia [4,6]. Initially, thyroid function is most often normal.…”

Section: Discussionmentioning

confidence: 99%

“…Initially, thyroid function is most often normal. Sometimes a hypothyroidism is observed because of the diffuse fibrosis infiltration of the gland [6]. Imaging is not specific, Ultrasound cannot distinguish RT from the other forms of thyroiditis; in fact, hypo echogenicity is a common feature in all inflammatory disorders of the thyroid gland, it is interesting that the complete absence of vascular flow at Color-Power-Doppler imaging might be demonstrated on the areas histologically diagnosed as RT, whereas most malignant nodules show intense vascularization [4].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2019

GJO

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Riedel's thyroiditis (RT) is a rare form of chronic thyroiditis characterized by extensive fibrosis of the thyroid gland, also affecting adjacent tissue, clinically resembles anaplastic thyroid or lymphoma. Findings from ultrasonography, and cytology are rarely conclusive. the therapeutic approach remains empirical and imperfect. We report a rare case of RT in a Moroccan woman with a good evolution after combined, surgical and medical therapy.

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“…However, the use of glucocorticoids and tamoxifen has been reported in the literature (18)(19)(20)(21). Glucocorticoids are preferred in first-line treatment (22). There are studies reporting that steroid therapy is effective in improving symptoms and reducing mass volume (20,23,24).…”

Section: Discussionmentioning

confidence: 99%

Riedel’s thyroiditis: Diagnostic and therapeutic difficulties

Ünsal¹,

Akpınar²,

Akova³

et al. 2017

Sisli Etfal

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Riedel's thyroiditis: Diagnostic and therapeutic difficultiesObjective: We aimed to discuss the diagnostic and therapeutic difficulties of Riedel's thyroiditis case which is a rarely seen disease of thyroid gland. Case: A 43-year-old female patient who admitted to the hospital with a firm, painless midline mass, and shortness of breath. Diagnosis was made by radiographic imaging, fine needle aspiration biopsy, tru-cut biopsy and open biopsies. Surgical treatment was not planned due to extensive extrathyroidal spread of the disease. Systemic steroid treatment was decided to be initiated to the patient, who had tracheotomy due to tracheal compression, after examining the medical treatment protocols reported in the literature. A distinct decrease in the size of the thyroid mass was noticed at follow up. Conclusion: Riedel thyroiditis is diagnosed in the presence of histopathological findings as well as radiological and physical examination findings. For diagnosis, primarily, it is important that the disease is suspected and that thyroid malignancies are excluded. Surgical treatment is not recommended because of the high morbidity except for the symptoms of compression, but there is also no standard medical treatment protocol. Therefore, reporting and discussion of the treatment choices of Riedel's thyroiditis on an individual basis will be beneficial. ÖZET:Riedel tiroiditi: Tanı ve tedavide karşılaşılan güçlükler Amaç: Tiroid bezinin nadir görülen bir hastalığı olan Riedel tiroiditi tanısı konulan bir olgunun tanı ve tedavi seyri sırasında karşılaşılan güçlüklerin tartışılması amaçlandı. Olgu: Boyunda orta hatta ağrısız, sert kitle ve nefes darlığı şikayeti ile başvuran 43 yaşında kadın hastaya yapılan radyolojik görüntülemeler, ince iğne aspirasyon biyopsisi, tru-cut biyopsi ve açık biyopsiler ile tanı konuldu. Hastalığın yaygın ekstratiroidal yayılımı nedeniyle cerrahi tedavi planlanmadı. Trakeal kompresyon nedeniyle trakeotomi açılan hastaya, literatürde bildirilmiş medikal tedavi protokolleri incelenerek, sistemik steroid tedavisi başlanmasına karar verildi. Takiplerinde tiroid kitlesi boyutlarında belirgin regresyon izlendi. Sonuçlar: Riedel tiroiditi tanısı histopatolojik bulguların yanısıra, radyolojik ve fizik muayene bulguları eşliğinde konulmaktadır. Tanıda öncelikle, hastalıktan şüphelenilmesi ve tiroidin habis hastalıklarının dışlanması önemlidir. Cerrahi tedavi, bası semptomları dışında, yüksek morbidite olasılığı nedeniyle önerilmezken standart bir medikal tedavi protokolü de bulunmamaktadır. Bu nedenle olgu bazlı tedavi seçimlerinin bildirilmesi ve tartışılması yararlıdır.

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Thyroïdite de Riedel : aspects actuels

Cited by 15 publications

References 30 publications

Invasive Fibrous Thyroiditis (Riedel Thyroiditis): The Mayo Clinic Experience, 1976–2008

Invasive Fibrous Thyroiditis (Riedel Thyroiditis): The Mayo Clinic Experience, 1976–2008

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Riedel’s thyroiditis: Diagnostic and therapeutic difficulties

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