Keimyung Med J.  2016 Jun;35(1):79-84. 10.0000/kmj.2016.35.1.79.

Thyroid Tuberculosis Diagnosis by Core Needle Biopsy Associated with Lymph Node Enlargement

• Park KS
• Kim KM
• Cho NY
• Lee SH
• Choi YA
• Lee MS

• KMID: 2307753
• DOI: http://doi.org/10.0000/kmj.2016.35.1.79

Abstract

Tuberculosis of thyroid gland is rare. We experienced a case of tuberculosis of the thyroid gland with contralateral lymph node enlargement in a 45-year-old female patient. She had no clinical respiratory symptom and no weight change. Thyroid sonography demonstrated 5.4 × 3.8 mm sized round low echogenic mass on lower pole of left thyroid gland and right cervical lymph node enlargement. Core needle biopsy of thyroid showed epithelioid chronic granuloma in the caseous necrosis. She was administrered anti-tuberculosis therapy for 24 weeks. After medication, thyroid sonographic finding improved and thyroid mass and right cervical lymph node enlargement disappeared.

Keyword

Lymph nodes; Thyroid gland; Tuberculosis

MeSH Terms

Biopsy, Large-Core Needle*
Diagnosis*
Female
Granuloma
Humans
Lymph Nodes*
Middle Aged
Necrosis
Thyroid Gland*
Tuberculosis*
Ultrasonography