Case Report
Year: 2020 | Month: December | Volume: 7 | Issue: 12 | Pages: 158-161
Thyroiditis Mimicking Thyroid Neoplasm: A Case Report
Reeta Dhar1, Omar Bali2, Urshlla Kaul3, Clerin John4, Anshika Rai5, Priyanka Gaikwad6, Jyotsna Sahai7, Talat Noor Sheikh8
1Professor, Department of Pathology, MGM’s Medical College, Navi Mumbai;
2Senior Resident, Department of Pathology, MGM’s Medical College, Navi Mumbai;
3Pathologist, MGM Hospital, Vashi;
4MBBS, MGM Medical College, Navi Mumbai;
5,6,73rd year Residents, Department of Pathology, MGM’s Medical College, Navi Mumbai;
8Pathologist, Department of Pathology and IHBT, H.N Reliance Hospital, Mumbai.
Corresponding Author: Omar Bali
ABSTRACT
Background: Hashimoto’s thyroiditis is an autoimmune thyroiditis that results in the destruction of the thyroid gland architecture. It can be so extensive that it could mimic a thyroid neoplasm. Being presented here is a case report of Hashimoto’s thyroiditis that manifested with clinical features similar to that of a thyroid neoplasm.
Case Report: The case being reported here is of a 65-year-old female who presented with midline swelling in the neck for 4 months. There was also change in voice along with mild pain. The thyroid profile revealed exceedingly high levels of TSH. Histopathological examination was conclusive of lymphocytic thyroiditis with possibility of autoimmunity.
Conclusion: Histopathological examination is useful for initial evaluation of painless thyroiditis, particularly in patients with palpable thyroid nodule and clinical presentation of a neoplasm. Therefore, attention should be paid to the differential diagnosis of thyroiditis and further assessment of thyroid profile and antibody levels in such thyroid mimics of carcinoma is strongly recommended.
Keywords: Hashimoto’s thyroiditis, autoimmune thyroiditis, thyroid neoplasm, anti-thyroid antibodies, Anti-Thyroglobulin antibody, Hurthle cells, goitre.
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