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Tuberculous thyroiditis and miliary tuberculosis manifested postpartum in a patient with thyroid carcinoma
1Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Endocrinologia Japonica
|August 1, 1990
Summary
This case report details a postpartum woman with a thyroid nodule and lung shadows. Diagnosis revealed coexisting thyroid tuberculosis and papillary carcinoma, successfully treated before surgery.
Area of Science:
- Endocrinology
- Oncology
- Infectious Diseases
Background:
- Co-occurrence of thyroid tuberculosis and thyroid carcinoma is rare.
- Postpartum thyroid conditions can present with diverse symptoms.
Observation:
- A postpartum febrile woman presented with a right nodular goiter and diffuse miliary shadows on chest roentgenogram.
- Transbronchial lung biopsy confirmed tuberculous granuloma, and aspiration cytology identified acid-fast bacilli in the thyroid.
Findings:
- Chemotherapy was initiated for tuberculosis, but the thyroid nodule persisted with elevated serum thyroglobulin.
- Subtotal thyroidectomy revealed papillary carcinoma coexisting with tuberculosis and lymph node metastasis.
Implications:
- This case highlights the importance of considering coexisting infections and malignancies in thyroid pathology.
- Aspiration cytology can be a valuable diagnostic tool for tuberculous thyroiditis preceding surgery.
- Early diagnosis and treatment are crucial for managing complex thyroid conditions.