Abstract:
:Riedel's thyroiditis (RT) is an extremely rare form of chronic thyroiditis, characterised by a fibroinflammatory process which partially destroys the thyroid, often involving surrounding tissues. We describe an unusual case of RT in a 38-year-old woman, and discuss its typical clinical, pathological, ultrasound, radionuclide scanning and magnetic resonance findings. We conclude that the diagnosis of RT is highly suggestive in the presence of a hard gland (or nodule), fixed to adjacent structures; 'cold' on Tc99 scan; hypoechoic with absence of vascular flow, invading the adjacent neck structures on ultrasound; hypointense in T1- and T2-weighted MR images; and showing fibrous tissue fragments with inflammatory cells at cytological examination. Thyroidectomy has to be performed to confirm the diagnosis and to relieve pressure symptoms.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Papi G,Corrado S,Cesinaro AM,Novelli L,Smerieri A,Carapezzi Csubject
Has Abstractpub_date
2002-01-01 00:00:00pages
65-7issue
1eissn
1368-5031issn
1742-1241journal_volume
56pub_type
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journal_title:International journal of clinical practice
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