A Rare Variant of Hashimoto's Thyroiditis.
| Autor: | Manda AL; Doctoral School 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Dima AL; Doctoral School 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Baleanu VD; Department of Surgery 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Vasile D; Department of Surgery 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Voiculescu DI; Department of Surgery 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania. |
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| Jazyk: | angličtina |
| Zdroj: | Current health sciences journal [Curr Health Sci J] 2024 Apr-Jun; Vol. 50 (2), pp. 332-336. Date of Electronic Publication: 2024 Jun 30. |
| DOI: | 10.12865/CHSJ.50.02.21 |
| Abstrakt: | Hashimoto's thyroiditis (HT) is the most frequently diagnosed thyroid disorder worldwide, characterized by hypothyroidy and thyroid autoimmunity. The fibrous variant accounts for a small number of cases. A 48 years old woman, with 20-years history of Hashimoto thyroiditis presented for a large recent goiter with compressive symptoms, in hypothyroidic state and with very high thyroid antibodies antithyroglobulin and antithyroperoxidase. Ultrasound and fine needle aspiration biopsy showed an enlargement of the thyroid gland with nonhomogeneous structure and trachea shifting posteriorly, Bethesda III. CT scan showed similar aspect of the thyroid gland with compression on the trachea and the left common jugular vein. Surgery was performed due to suspicion of malignancy and compression symptoms. Thyroidectomy was uneventful, but the patient developed hypoparathyroid symptoms postoperatively that resolved with high dose calcium, magnesium and vitamin D supplementation. The pathology report was consistent of Hashimoto's thyroiditis fibrous variant. This case report presents a rare case of the fibrous variant of Hashimoto's thyroiditis that is rarely taken under consideration in the preoperative setting as diagnosis is hard to establish with the usual algorithm of imaging and FNA biopsy. The multidisciplinary management in pre-and postoperative approach and evaluation are of utmost importance for successful management of such case. Competing Interests: The authors have no conflict of interest to declare. (Copyright © 2022, Medical University Publishing House Craiova.) |
| Databáze: | MEDLINE |
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