scholarly journals Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)

2021 ◽  
pp. 166-171
Author(s):  
A. A. Rybakova ◽  
N. M. Platonova ◽  
T. V. Soldatova ◽  
N. V. Tarbaeva ◽  
T. S. Panevin ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Clinical Case ◽  
Clinical Performance ◽  
Fine Needle Biopsy ◽  
Morphological Description ◽  
Positive Trend ◽  
Riedel’S Thyroiditis ◽  
Compression Syndrome ◽  
Diagnostic Difficulties ◽  
Riedel's Thyroiditis

Riedel's thyroiditis is a rare disease characterized by chronic fibrosis. Clinical performance of this disease is dense stony goiter, which can poorly be displaced during palpation. The overgrowth of the goiter can lead to the development of compression syndrome. To diagnose we need to made fine needle biopsy and made the final diagnose according to its results or according to the morphological description of the postoperative material. An important step in the diagnosis of Riedel's thyroiditis is the determination of serum IgG and IgG4 to exclude an IgG4-associated disease. Treatment of this disease includes drug therapy, which is based on glucocorticosteroids administration or surgical treatment when develops compression syndrome. This article presents a clinical case of a patient with Riedel's thyroiditis; the main complaints were associated with the growth of goiter and the development of compression syndrome. In this regard, patient underwent surgery on the thyroid gland, and after this we get final diagnose. Due to feeling unwell, drug therapy with glucocorticosteroids was prescribed, against the background of which we noted a positive trend.

Does ProCore fine needle biopsy really improve the clinical outcome of endoscopic ultrasound-guided sampling of pancreatic masses?

2021 ◽  
Author(s):  
Gabriele Delconte ◽  
Federica Cavalcoli ◽  
Andrea Magarotto ◽  
Giovanni Centonze ◽  
Cristina Bezzio ◽  
...  
Keyword(s):  
Adverse Events ◽  
Diagnostic Accuracy ◽  
Likelihood Ratio ◽  
Endoscopic Ultrasound ◽  
Needle Biopsy ◽  
Clinical Performance ◽  
Negative Likelihood Ratio ◽  
Fine Needle Biopsy ◽  
Fine Needle ◽  
Sensitivity Specificity

Introduction: Fine Needle Biopsy (FNB) has been suggested to provide better histological samples as compared to endoscopic ultrasound fine needle aspiration (EUS-FNA). However, studies comparing EUS-FNA and EUS-FNB for pancreatic lesions reported contrasting results. The aim of this study was to compare the clinical performance of EUS-FNA versus EUS-FNB with ProCore needle for the investigation of pancreatic lesions. Methods: We reviewed all patients undergoing EUS for the investigation of pancreatic lesions from August 2012 to September 2018. From August 2012 to January 2015 all procedures were performed with standard needles, whereas from February 2015 to September 2018 the use of ProCore needles had been introduced. Data on diagnostic accuracy, number of needle passes and/or adverse events were collected. Results: 324 patients were retrospectively evaluated: 190 (58.6%) underwent EUS-FNA and 134 (41.4%) EUS-FNB. Both EUS-FNA and EUS-FNB showed high diagnostic accuracy for malignancy [94% (CI 95%:89-97%) vs 94% (CI 95%:89-98%)]. Notable, there were no differences between EUS-FNA and EUS-FNB in terms of sensitivity, specificity, positive and negative likelihood ratio, histological core tissue retrieval, adverse events or number of needle passes. However, subgroup analysis noted a higher diagnostic accuracy for 25G EUS-FNB as compared to 25G EUS-FNA (85,7% vs 55,5%; *p=0.023). Conclusion: EUS-FNB with ProCore needle is safe and feasible in pancreatic lesions. ProCore needle did not provide any advantage in terms of diagnostic accuracy, sensitivity, specificity, positive and/or negative likelihood ratio, or acquisition of core specimen, therefore its routine application is not

MR findings with dynamic evaluation in Riedel's thyroiditis

2002 ◽  
Vol 26 (2) ◽  
pp. 89-91 ◽  
Author(s):  
Naoya Takahashi ◽  
Kouichirou Okamoto ◽  
Kunio Sakai ◽  
Masahiro Kawana ◽  
Motoko Shimada-Hiratsuka
Keyword(s):  
Riedel’S Thyroiditis ◽  
Dynamic Evaluation ◽  
Riedel's Thyroiditis

Riedel’s thyroiditis — Case report and literature review

1994 ◽  
Vol 163 (4) ◽  
pp. 176-177 ◽  
Author(s):  
O. H. Brady ◽  
D. J. Hehir ◽  
S. J. Heffernan
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Riedel’S Thyroiditis ◽  
Riedel's Thyroiditis

scholarly journals Riedel’s thyroiditis as a part of the IgG4 systemic disease: A case report

2021 ◽  
Vol 12 ◽  
pp. 1
Author(s):  
Thamyres Marques ◽  
Bárbara Gehrke ◽  
Francinne Machado Ribeiro ◽  
Marise Machado ◽  
Sérgio de Oliveira Romano ◽  
...  
Keyword(s):  
Case Report ◽  
Systemic Disease ◽  
Riedel’S Thyroiditis ◽  
Riedel's Thyroiditis

scholarly journals POEMS-syndrome: diagnostic difficulties

2020 ◽  
Vol 92 (7) ◽  
pp. 104-108
Author(s):  
P. A. Lebedev ◽  
E. V. Paranina ◽  
V. A. Rossiyev ◽  
E. Y. Fedorova ◽  
A. S. Nikolaeva
Keyword(s):  
Paraneoplastic Syndrome ◽  
Early Onset ◽  
Clinical Case ◽  
Specific Treatment ◽  
Poems Syndrome ◽  
Skin Changes ◽  
Monoclonal Protein ◽  
Diagnostic Difficulties

POEMS syndrome is a rare paraneoplastic syndrome whose name is an acronym formed from the initial letters of the names of the symptoms originally used to determine it: polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes. Due to the rarity of the disease and the small number of cases described in the literature, its diagnosis is difficult. The average time from onset of symptoms to diagnosis is 18 months. Moreover, the prognosis of the disease depends on the early onset of specific treatment. The article describes a clinical case of POEMS-syndrome in a 53-year-old man, which illustrates the difficulties associated with the timely recognition of this unusual disease.

scholarly journals Riedel’s thyroiditis associated with mediastinal and retroperitoneal fibrosis

2012 ◽  
Vol 2 (2) ◽  
pp. 200-202
Author(s):  
Said Azzoug ◽  
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Riedel’S Thyroiditis ◽  
Riedel's Thyroiditis

Résumé : La thyroïdite de Riedel est une pathologie fibrosante rare qui s’associe parfois à d’autres pathologies fibrosantes comme rapporté dans l’observation qui suit. Observation : Mme B.F consulte à l’âge de 44 ans pour un goitre de consistance dure pierreuse suspecte ; l’échographie cervicale retrouve un goitre nodulaire calcifié suspect avec des adénopathies satellites, la cytoponction retrouva une hyperplasie lymphoréticulaire non spécifique. La patiente a été opérée retrouvant une thyroïde infiltrant les muscles préthyroïdiens ; les biopsies avec l’étude histologique étaient en faveur d’une thyroïdite de Riedel, la patiente développa par la suite une hypothyroïdie qui fut substituée. Six années plus tard, la patiente développa une toux et un syndrome cave supérieur, le scanner thoracique retrouva un aspect de fibrose médiastinale, la patiente a été mise sous corticoïdes avec une bonne évolution clinique et une stabilisation des lésions sur le plan radiologique. Par la suite, après plusieurs années et suite à des douleurs lombaires droites l’IRM abdominale retrouva une fibrose rétropéritonéale engainant l’uretère droit. Conclusion : La thyroïdite de Riedel s’intègre parfois dans une atteinte fibrosante multi systémique qu’il faudrait rechercher et traiter afin d’améliorer le pronostic du patient.

scholarly journals Riedel's Thyroiditis Within an Elderly Patient Revealed by Tracheal Compression: A Case of Report

2020 ◽  
Author(s):  
Zie Ahmed Cheick Traore ◽  
N'guiessan Alphonse Aman ◽  
Zana Ismael Coulibaly ◽  
Kouadio Donatien Koffi ◽  
Ibrahiman Toure ◽  
...  
Keyword(s):  
Thyroid Tissue ◽  
The Elderly ◽  
University Hospital ◽  
Screening Methods ◽  
Riedel’S Thyroiditis ◽  
Case Presentation ◽  
Tracheal Compression ◽  
Thyroid Mass ◽  
Surgery Department ◽  
Riedel's Thyroiditis

Abstract Background : Riedel's thyroiditis (RT) is a rare fibrosclerotic disease that affects the thyroid gland and surrounding tissues. The etiology is unknown, and it rarely affects the elderly.Case Presentation : A 56-year-old man, with no particular medical history, was seen in consultation at the Surgery Department of the Treichville Teaching University Hospital for a painless swelling of the anterior base of the neck. Physical examination showed a patient with inspiratory dyspnea probably due to tracheal compression. The patient underwent a subtotal thyroidectomy because of the clinical symptomatology and the persistence of dyspnea. Macroscopically, the thyroid mass was well-encapsulated, weighed 80g, and measured 10 cm x 5 cm x 2 cm. After section, we observed whitish fibrous nodules associated with pinkish-brownish band. Histologically, the architecture of thyroid tissue was restructured by dense and diffuse collagenous fibrosis in which rare atrophic thyroid vesicles were found. The fibrous areas were infiltrated by inflammatory elements, including lymphocytes, plasmocytes, and eosinophilic polynuclear cells. No malignant cells were found. Masson's trichrome staining confirmed the fibrous nature of the thyroid tissue, which is essential for the certain diagnosis of Riedel's thyroiditis. There was no postoperative complication Conclusion: Riedel's thyroiditis is a rare disease that is difficult to diagnose preoperatively despite advances in imaging and fine needle cytology screening methods. Histological examination of the sample confirms the diagnosis of Riedel's thyroiditis. Thyroidectomy is indicated in patients with compression symptoms. Clinicians should suspect Riedel's thyroiditis in patients with a hard thyroid mass with compressive symptoms, despite its rarity.

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