Thyroid primary and metastatic malignant tumours of poor prognosis may mimic subacute thyroiditis - time to change the diagnostic criteria: case reports and a review of the literature

BMC Endocrine Disorders
Magdalena StasiakA Lewiński

Abstract

The diagnosis of subacute thyroiditis (SAT) is based mainly on the presence of painful thyroid goitre and a significant increase in erythrocyte sedimentation rate (ESR). Proceeding according to these diagnostic criteria may lead to an incorrect diagnosis and treatment. Extremely dangerous is the situation when the diagnosis of SAT is erroneously made based on criteria other than ultrasound (US) image and fine needle aspiration biopsy (FNAB), which leads to delayed diagnosis of malignant tumour with poor prognosis. Five patients with typical SAT symptoms are presented. In all of them, anaplastic thyroid cancer or metastatic thyroid tumours were finally diagnosed as the cause of the initial symptoms resembling SAT. Most of the patients were initially misdiagnosed and the proper diagnosis of malignancy was delayed. The authors have proposed the new diagnostic criteria for SAT, and strongly suggest that thyroid gland US should be included in the main criteria of SAT diagnosis, together with FNAB result excluding the presence of malignant tumour.

References

Jul 1, 1988·The Journal of Clinical Endocrinology and Metabolism·H IkenoueM Fujishima
Nov 1, 1983·Annals of Internal Medicine·J I HamburgerS R Kini
Apr 1, 1994·Journal of Endocrinological Investigation·J GochuL Poretsky
Feb 1, 1996·The Journal of Clinical Endocrinology and Metabolism·M IitakaK Ito
Aug 4, 2001·Thyroid : Official Journal of the American Thyroid Association·G H Daniels
Feb 9, 2012·Thyroid : Official Journal of the American Thyroid Association·Alice Y ChungMichael Bouvet
Mar 27, 2012·The Medical Clinics of North America·Mary H Samuels
Nov 23, 2012·The Journal of Craniofacial Surgery·Eylem Sercan OzguYusuf Vayisoglu
Mar 21, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Fu-shun PanXiao-xi Li
Oct 9, 2015·Journal of Medical Case Reports·Ahmet Selçuk Can, Gülistan Köksal
Mar 23, 2017·BMC Research Notes·A DaoA Benider

❮ Previous
Next ❯

Citations

May 29, 2020·BMC Endocrine Disorders·Zhouyi XiongJianneng Wu
Mar 3, 2021·Clinical Endocrinology·Dorota DworakowskaAshley B Grossman
May 6, 2021·Reviews in Endocrine & Metabolic Disorders·Magdalena Stasiak, Andrzej Lewiński
May 18, 2021·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Josephine H LiGiuseppe Barbesino
Jun 10, 2021·Acta Radiologica Open·Hee Joong LimDong Young Kim

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
ESR
dissection

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Related Papers

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Nikolaos Trichopoulos, James J Augsburger
Acta otorrinolaringológica española
Carlos Muñoz PalzaIsabel García Muñoz
Nederlands tijdschrift voor geneeskunde
P LipsR O Gans
© 2021 Meta ULC. All rights reserved