Summary
Five cases of Riedel's invasive fibrous thyroiditis are presented.-Clinically and histopathologically all cases fulfilled the criteria for this lesion. In both small and large veins there were inflammatory changes and obliteration of the lumen, followed by sclerosis. These changes were found in each operative specimen, and seemed to be a diagnostic feature of invasive fibrous thyroiditis. We consider this change to be an occlusive phlebitis, and have noted that it occurs in association with multifocal fibrosclerosis. Three stages can be recognised: infiltrative, occlusive and sclerotic.
In other thyroid lesions such as Hashimoto's thyroiditis, granulomatous thyroiditis of the Quervain type and adenomatous goitre these peculiar changes in the veins were not found.
Similar content being viewed by others
References
Bartholomew, L.G., Cain, J.C., Woolner, L.B., Utz, D.D., Ferris, D.O.: Sclerosing cholangitis. New. Engl. J. Med. 269, 8–12 (1963)
Bogomoletz, W.: Aspects vasculaires de la thyroÏdite de Riedel. Frankf. Z. Pathol. 75, 237–242 (1966)
Comings, D.E., Skubi, K.B., Eyes, J. van, Motulsky, A.G.: Familial multifocal fibrosclerosis. Ann. intern. Med. 66, 884–892 (1967)
Gleeson, H., Taylor, S., Bowling, R.: Multifocal fibrosclerosis. Proc. Roy. Soc. Med. 63, 1309–1311 (1970)
Hardmeier, Th., Hedinger, Chr.: Die eisenharte Struma Riedel — eine primÄre GefÄ\erkrankung. Virchows Arch. Path. Anat. 337, 547–554 (1964)
Jones, J.H., Ross, E.J., Matz, L.R.: Retroperitoneal fibrosis. Am. J. Med. 48, 203–208 (1970)
Meijer, S., Hausman, R.: Occlusive phlebitis in multifocal fibrosclerosis. Am. J. Clin. Path. 65, 274–283 (1976)
Meijer, S., Hoitsma, H.F.W., Scholtmeijer, R.: Idiopathic retroperitoneal fibrosis in multifocal fibrosclerosis. Eur. Urol. 2, 258–260 (1976)
Riedel, B.: Die chronische, zur Bildung eisenharter Tumoren führende Entzündung der Schilddrüse. Verh. dtsch. Ges. Chir. 25, 101–105 (1896)
Riedel, B.: Vorstellung eines Kranken mit chronischer Strumitis. Verk. dtsch. Ges. Chir. 26, 127–129 (1897)
Roulet, F.: über eigenartige GefÄ\befunde bei chronischer Thyroiditis. Virchows Arch. 280, 640–648 (1931)
Thomson, J.A., Jackson, J.M.D., Duguid, W.P.: The effect of steroid therapy on Riedel's thyroiditis. Scot. Med. J. 13, 13–16 (1968)
Turner-Warwick, R., Nabarro, J.D.N., Doniach, D.: Riedel's thyroiditis and retroperitoneal fibrosis. Proc. R. Soc. Med. 59, 596–598 (1966)
Woolner, L.B., McConahey, W.M., Beahrs, O.H.: The surgical aspects of thyroiditis. Am. J. Surg. 104, 666–671 (1962)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Meijer, S., Hausman, R. Occlusive phlebitis, a diagnostic feature in Riedel's thyroiditis. Virchows Arch. A Path. Anat. and Histol. 377, 339–349 (1978). https://doi.org/10.1007/BF00507134
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00507134