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Acute suppurative thyroiditis in an asymptomatic woman: an atypical presentation simulating thyroid carcinoma
Author(s) -
Yamashita Junichi,
Ogawa Michio,
Yamashita Shinichi,
Saishoji Telsushi,
Nomura Koichi,
Tsuruta Junji
Publication year - 1994
Publication title -
clinical endocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.055
H-Index - 147
eISSN - 1365-2265
pISSN - 0300-0664
DOI - 10.1111/j.1365-2265.1994.tb02457.x
Subject(s) - medicine , asymptomatic , thyroiditis , thyroid , dysphagia , physical examination , fistula , radiology , pathology , surgery , gastroenterology
Summary Patients with acute suppurative thyroiditis usually have pain or tenderness in the anterior part of the neck associated with erythema and dysphagia. A 26‐year‐old Japanese woman with none of these symptoms presented with a left anterior cervical mass. Since physical examination and laboratory studies showed a firm and irregular tumour located in the left lobe of the thyroid without any inflammatory signs, we made a diagnosis of thyroid carcinoma. After surgery, histological examination of the thyroid specimen revealed various changes of severe inflammation, and a barium swallow demonstrated a left pyriform sinus fistula. We describe here a unique case of acute suppurative thyroiditis in an asymptomatic woman.