Severe trachea compression caused by Riedel's thyroiditis: A case report and review of the literature.

Authors:
Ren Chong Xi
Ren Chong Xi
Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical University
Liu Yan
Liu Yan
Dalian Polytechnic University
China

Ann Med Surg (Lond) 2016 Dec 24;12:18-20. Epub 2016 Oct 24.

Pathology Department, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical University, Cangzhou 061000, China.

Background: Riedel's thyroiditis (RT) is a rare form of chronic thyroiditis, associated with fibroinflammatory process involving the thyroid and surrounding cervical tissues, leading to compressive symptoms.

Case Presentation: We present a case of RT in a 73-year-old female with dyspnoea caused by severe trachea compression. She had reported dyspnoea during physical stress, and had noticed a large mass on the front of the neck. Despite the combination of various imaging modalities, the thyroid mass was not differentiated from thyroid malignancy and other thyroid disorder. Total thyroidectomy and tracheotomy were performed. During surgery, the thyroid had severe adhesion to surrounding tissue and the pathology revealed RT.

Conclusions: Clinicians should be aware of RT. It is important to differentiate this condition from other thyroid disorders, especially malignant lesions. Thyroidectomy is indicated for patients with compressive symptoms, suspicious malignancy and failure of conservative management.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2016.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096594PMC
December 2016
6 Reads

Publication Analysis

Top Keywords

riedel's thyroiditis
8
trachea compression
8
severe trachea
8
thyroid
6
large mass
4
noticed large
4
condition thyroid
4
stress noticed
4
differentiate condition
4
aware differentiate
4
despite combination
4
neck despite
4
front neck
4
physical stress
4
mass front
4
dyspnoea physical
4
female dyspnoea
4
malignant lesions
4
case 73-year-old
4
lesions thyroidectomy
4

Similar Publications

Vasovagal reflex emergency caused by Riedel's thyroiditis: A case report and review of the literature.

Asian J Surg 2016 Jan 3;39(1):41-4. Epub 2013 May 3.

Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.

Riedel's thyroiditis is a rare type of chronic thyroiditis, associated with fibroinflammatory process and invasion into surrounding tissues, leading to compressive symptoms. A 45-year-old man had a left thyroid mass, presenting with hypotension and bradycardia many times. He was diagnosed with vasovagal reflex caused by cervical vessel compression due to a thyroid lesion. Read More

View Article
January 2016

Riedel's thyroiditis in a patient with recurrent subacute thyroiditis: a case report and review of the literature.

Endocr J 2007 Aug 2;54(4):559-62. Epub 2007 Jul 2.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Riedel's thyroiditis is a rare form of chronic thyroiditis, characterised by a fibroinflammatory process that partially destroys the thyroid and often involves surrounding tissues. The relationship of Riedel's thyroiditis to other forms of thyroiditis is not clear. A case of Riedel's thyroiditis in a 51-year-old woman presenting with symptoms of subacute thyroiditis, is reported. Read More

View Article
August 2007

A misdiagnosed Riedel's thyroiditis successfully treated by thyroidectomy and tamoxifen.

J Formos Med Assoc 2012 Dec 14;111(12):719-23. Epub 2012 Dec 14.

Department of Surgery of Dou-liou Branch, National Cheng Kung University Medical College and Hospital, Tainan, Taiwan.

Riedel's thyroiditis, known as invasive fibrous thyroiditis, is a very rare form of chronic thyroiditis. It is hard to make the diagnosis without surgical biopsy. We present a case of Riedel's thyroiditis in a 52-year-old female with past history of Hashimoto's thyroiditis. Read More

View Article
December 2012

Occurrence of Riedel's thyroiditis in the course of sub-acute thyroiditis.

J Endocrinol Invest 2000 Jun;23(6):399-401

Ege University Endocrinology Department, Bornova-Izmir, Turkey.

Riedel's Thyroiditis is an uncommon form of chronic thyroiditis characterized by an invasive fibrosclerosis of the gland, often involving surrounding tissue. The relationship of Riedel's Thyroiditis to other forms of thyroiditis is not clear. We presented a 47 year-old woman first diagnosed with sub-acute thyroiditis based on clinical findings and laboratory results. Read More

View Article
June 2000