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Updated: Dec 7, 2025

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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RECURRENT PAINFUL HASHIMOTO THYROIDITIS SUCCESSFULLY TREATED BY THYROIDECTOMY.

Carol Chiung-Hui Peng, Kashif M Munir, Linda Song

    AACE Clinical Case Reports
    |September 28, 2020
    PubMed
    Summary

    Painful Hashimoto thyroiditis (HT) can cause recurrent neck pain, challenging diagnosis. Thyroidectomy may be considered for persistent pain unresponsive to steroids, offering long-term relief.

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    Area of Science:

    • Endocrinology
    • Pathology

    Background:

    • Painful Hashimoto thyroiditis (HT) is a rare variant of HT presenting with neck pain.
    • Clinical differentiation from subacute thyroiditis is difficult without histopathology.

    Observation:

    • A 42-year-old female with a history of HT experienced recurrent neck pain and a tender goiter.
    • Pain was temporarily relieved by corticosteroids, and thyroid volume decreased after pain episodes.

    Findings:

    • Histopathology confirmed HT in a patient with recurrent neck pain.
    • Recurrent thyroid pain despite steroid treatment is a hallmark of painful HT.

    Implications:

    • Pathology remains the gold standard for diagnosing painful HT.
    • Thyroidectomy is a potential treatment option for recurrent, steroid-resistant painful HT episodes.