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Thyroid tuberculosis: diagnosis and treatment
H O El Malki1, R Mohsine, K Benkhraba
1Surgical Department A, CHU Ibn Sina, Mohammed V University of Medicine and Pharmacy, Rabat, Morocco.
Chemotherapy
|December 13, 2005
Summary
Thyroid tuberculosis (TT) presents with varied symptoms, making diagnosis challenging. Fine-needle aspiration is the preferred diagnostic method, potentially avoiding surgery for thyroid tuberculosis.
Area of Science:
- Endocrinology
- Infectious Diseases
- Pathology
Background:
- Thyroid tuberculosis (TT) is a rare condition with nonspecific clinical presentations.
- Early and accurate diagnosis of TT is crucial for effective management and patient outcomes.
Purpose of the Study:
- To document the clinical characteristics and treatment strategies for thyroid tuberculosis (TT).
- To evaluate diagnostic methods for TT, emphasizing the role of fine-needle aspiration.
Main Methods:
- Retrospective analysis of 2,426 thyroid surgeries over 16 years.
- Histopathological examination of thyroid specimens to identify tuberculosis.
- Review of clinical data, diagnostic procedures, and treatment outcomes for diagnosed TT cases.
Main Results:
- Eight cases of TT were diagnosed among operated thyroid patients.
- Clinical presentations included goiter (5 cases) and isolated thyroid nodules (3 cases).
- Fine-needle aspiration cytology successfully diagnosed TT in one patient, enabling abscess drainage; other cases were diagnosed post-operatively.
Conclusions:
- Thyroid tuberculosis lacks consistent clinical symptoms, complicating diagnosis.
- Fine-needle aspiration cytology is the optimal diagnostic modality for TT, potentially obviating the need for surgery.
- Prompt diagnosis and appropriate antituberculous drug therapy lead to satisfactory patient follow-up.