Abstract
Riedel’s thyroiditis is a rare inflammatory process which not only involves thyroid gland but also the surrounding vital structures. It may also be associated with various forms of systemic fibrotic disorders. The exact etiology is not known, but currently most favored view is that of a localized form of systemic fibrotic process. We report a case of Riedel’s thyroiditis in a patient, highlighting a rare presentation mimicking anaplastic carcinoma. Clinical awareness of such presentation of Riedel’s thyroiditis would enhance our ability to make this diagnosis promptly. Apart from avoiding or minimizing aggressive surgical intervention, awareness of such clinical entity may avoid complications and hence morbidity. Our case also highlights the difficulty in histological diagnosis which is very important to rule out malignancy and avoiding any major surgical intervention fraught with complications. Good response to high dose steroids as seen in our case is the current accepted treatment of choice.
References
Riedel BMCL (1896) Die chronische, zur bildung eisenharter tumoren fuhrende entzundung der schilddruse. Verh Dtsch Ges Pathol Chir 26:101
Sheu SY, Schmid KW (2003) Inflammatory diseases of the thyroid gland. epidemiology, symptoms and morphology. Pathologe 24:339–347
de Lange WE, Freling NJ, Molenaar WM, Doorenbos H (1989) Invasive fibrous thyroiditis (Riedel’s struma): a manifestation of multifocal fibrosclerosis? A case report with review of the literature. Q J Med 72:709–717
Zimmermann-Belsing T, Feldt-Rasmussen U (1994) Riedel’s thyroiditis: an autoimmune or primary fibrotic disease? J Intern Med 235:271–274
Guimaraes VC. Subacute and Reidel’s thyroiditis. In: Jameson JL, De Groot LJ, eds. Endocrinology: adult and pediatric. 6th ed. Philadelphia: Elsevier 2010 1600–1603
Pi GY, Lee YS, Hong SW, Chang HS, Park CS (2012) A case of Riedel's thyroiditis. J Korean Surg Soc 82(5):317–320
Fatourechi MM, Hay ID, McIver B, Sebo TJ, Fatourechi V (2011) Invasive fibrous thyroiditis (Riedel’s thyroiditis): the Mayo Clinic experience 1976–2008. Thyroid 21:765–772
Perimenis P, Marcelli S, Leteurtre E, Vantyghem MC, JL W’m (2008) Riedel’s thyroiditis: current aspects. Presse Med 37:1015–1021
Clark CP, Vanderpool D, Preskitt JT (1991) The response of retroperitoneal fibrosis to tamoxifen. Surgery 109:502–506
Levy JM, Hasney CP, Friedlander PL, Kandil E, Occhipinti EA, Kahn MJ (2010) Combined mycophenolate mofetil and prednisone therapy in tamoxifen- and prednisone-resistant Reidel’s thyroiditis. Thyroid 20:105–107
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AHH wrote the draft of the article. SKC had been involved in the diagnostic pathology. IHH and FJW helped in the final writing of the paper and gave final approval of the article. AHH, IHH, SKC and FJW participated in the article revision. All authors read and approved the final manuscript.
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Institution where work was done: Apollo cancer Hospital, Hyderabad, India.
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hakeem, A.H., Chandramathyamma, S.K., Hakeem, I.H. et al. Riedel’s Thyroiditis Mimicking as Anaplastic Thyroid Carcinoma: Unusual Presentation. Indian J Surg Oncol 7, 359–362 (2016). https://doi.org/10.1007/s13193-016-0513-5
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DOI: https://doi.org/10.1007/s13193-016-0513-5