Naslov
Riedelova struma-ultrazvučna i citološka prezentacija bolesti
(Riedel´s thyreoiditis-ultrasonographic and cytlogical presentation of the disease)

Autori
Knežević-Obad, Anka ; Bence-Žigman, Zdenka ; Antulov, Jasenka ; Dodig, Damir

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Journal Pathologica / - , 2006

Skup
32. Evropsi kongres citologije

Mjesto i datum
Venecija, Italija, 01.09.2006. - 04.09.2006

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Riedelov tireoiditis; citologija; ultrazvuk
(Riedel´s thyreoiditis; cytology; ultrasonography)

Sažetak
RIEDEL'S THYROIDITIS – ULTRASONOGRAPHIC AND CYTOLOGICAL PRESENTAION OF THE DISEASE Riedel thyroiditis or invasive chronic fibromatous thyroiditis is very rare chronic inflammatory disease of the thyroid gland. It was considered to be a type of chronic lymphocitic thyroiditis, but today the prevailing view is that it is part of a generalized fibroinflammatory process also involving other organs. During 30 years period in Department of nuclear medicine and radiation protection of University hospital Zagreb, we diagnosed only one case of Riedel thyroiditis. Clinical presentation at the beginning of the disease involved elevated sedimentation rate, fever, neck pain, elevated TSH and anti TPO. We performed ultrasound examination that revealed enlarged, extremely hard and non compressible thyroid gland with irregular margins, inhomogeneous and hypoechoic. FNAB of both lobes was done and showed signs of late phase of subacute thyroiditis. Despite adequate medicament therapy thyroid gland continued to enlarge and compress trachea. We repeated FNAB and on the basis of low cellularity, rare thyreocyites, some lymphocytes, numerous fibrocytes and absence of colloid we made diagnosis of Riedel thyroiditis. The patient was referred to the surgery and partial resection of both lobes as well as isthmus was done. Two years after the procedure the patient developed hyperparathyroidism. In this case we presented ultrasonographic and cytological presentation of Riedel thyroiditis. On the ultrasonographic presentation the gland is hypoechoic, inhomogeneous and has irregular outer margins. The distinction from other diffuse thyroid diseases is non compressible gland with trachea compression, which has tendency to grow despite adequate medicament therapy. Characteristic of cytological finding is absence of colloid, numerous fibrocytes as a sign of glandular fibrosis, and rare lymphocytes and plasma cells.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA