Differential diagnosis and management of airway obstruction in Riedel's thyroiditis: A case report

A case of Riedel's thyroiditis, which required differential diagnosis from malignant tumor of the thyroid gland, and the strategy of surgical treatment is reported. Differential diagnosis prior to the treatment was difficult, but the diagnosis was decided by the histopathological findings of an...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2005-12, Vol.32 (4), p.439-443
Main Authors: Sato, Katsuro, Hanazawa, Hideyuki, Watanabe, Jun, Takahashi, Sugata
Format: Article
Language:English
Subjects:
Airway Obstruction - diagnosis
Airway Obstruction - drug therapy
Airway Obstruction - etiology
Airway stenosis
Anti-Inflammatory Agents - therapeutic use
Diagnosis, Differential
Dysphagia
Female
Humans
LASER
Magnetic Resonance Imaging
Middle Aged
Prednisolone - therapeutic use
Riedel's thyroiditis
Surgical treatment
T-tube
Thyroiditis - complications
Thyroiditis - pathology
Thyroiditis - surgery
Tomography, X-Ray Computed
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Summary:A case of Riedel's thyroiditis, which required differential diagnosis from malignant tumor of the thyroid gland, and the strategy of surgical treatment is reported. Differential diagnosis prior to the treatment was difficult, but the diagnosis was decided by the histopathological findings of an open biopsy specimen obtained simultaneously in an emergent tracheostomy required for progressive airway stenosis. First-choice treatment for Riedel's thyroiditis has been reported to be steroid administration, however, this treatment was difficult for the present case due to continuous steroid treatment for complicated neuro-Behçet's disease. Therefore, vaporization of the lesion using KTP-LASER and T-tube placement was chosen for the surgical treatment strategy of this patient. After 1 year of follow-up since the operation, the T-tube was removed and the tracheostoma was closed, and the patient has remained symptom free for 4 1 2 years. Careful long-term follow-up is still needed for this patient to prevent recurrence of the disease, subsequent complications of autoimmune diseases, and thyroid malignancies.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2005.05.009