Korean J Intern Med.  2013 Mar;28(2):236-241. 10.3904/kjim.2013.28.2.236.

Case of concurrent Riedel's thyroiditis, acute suppurative thyroiditis, and micropapillary carcinoma

• Hong JT
• Lee JH
• Kim SH
• Hong SB
• Nam M
• Kim YS
• Chu YC

• KMID: 1501780
• DOI: http://doi.org/10.3904/kjim.2013.28.2.236

Abstract

Riedel's thyroiditis (RT) is a rare chronic inflammatory disease of the thyroid gland. It is characterized by a fibroinflammatory process that partially destroys the gland and extends into adjacent neck structures. Its clinical manifestation can mask an accompanying thyroid neoplasm and can mimic invasive thyroid carcinoma. Therefore, diagnosis can be difficult prior to surgical removal of the thyroid, and histopathologic examination of the thyroid is necessary for a definite diagnosis. The concurrent presence of RT and other thyroid diseases has been reported. However, to our knowledge, the association of RT with acute suppurative thyroiditis and micropapillary carcinoma has not been reported. We report a rare case of concurrent RT, acute suppurative thyroiditis, and micropapillary carcinoma in a 48-year-old patient.

Keyword

Riedel's thyroiditis; Thyroiditis, suppurative; Thyroid cancer, papillary

MeSH Terms

Anti-Bacterial Agents/therapeutic use
Biopsy
Carcinoma/*complications/diagnosis/therapy
Female
Hashimoto Disease/*complications/diagnosis/therapy
Hormone Replacement Therapy
Humans
Lymph Node Excision
Middle Aged
Thyroid Neoplasms/*complications/diagnosis/therapy
Thyroidectomy
Thyroiditis/*complications/diagnosis/therapy
Thyroiditis, Suppurative/*complications/diagnosis/therapy
Thyroxine/therapeutic use
Tomography, X-Ray Computed
Treatment Outcome
Anti-Bacterial Agents
Thyroxine