Riedel's thyroiditis: clinical, pathological and imaging features.

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 Pract

authors

Papi G,Corrado S,Cesinaro AM,Novelli L,Smerieri A,Carapezzi C

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

65-7

issue

1

eissn

1368-5031

issn

1742-1241

journal_volume

56

pub_type

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