KMID : 1011720170100010066
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International Journal of Thyroidology 2017 Volume.10 No. 1 p.66 ~ p.69
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Surgical Treatment for Riedel¡¯s Thyroiditis: a Case Report
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Park Min-Woo
Baek Seung-Kuk Jung Kwang-Yoon
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Abstract
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Riedel¡¯s thyroiditis is a rare fibrotic condition that results in the destruction of the thyroid and infiltration into surrounding tissues. The exact etiology is not yet clear, although systemic fibrosing disorder, a variant of Hashimoto¡¯s thyroiditis, a primary inflammatory disorder of the thyroid, and even a manifestation of end-stage subacute thyroiditis has been suggested. Although various treatments have been applied, no definitive treatment has yet been established. We report a case of Riedel¡¯s thyroiditis treated without complications using microscopic surgery. A 54-year-old man visited our clinic presenting with neck tightness and a left neck mass. A gun biopsy revealed a benign thyroid mass, although the radiologic findings showed a malignant thyroid tumor with invasion into the trachea and strap muscles. The patient underwent a left hemi-thyroidectomy and shaving of the trachea, esophagus and recurrent laryngeal nerve under microscopy. The final pathology revealed Riedel¡¯s thyroiditis combined with Hashimoto¡¯s thyroiditis. The patient had symptomatic relief without vocal fold paralysis and hypocalcemia. Surgical treatment using microscopic dissection can be considered to be one of treatment option for Riedel¡¯s thyroiditis.
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KEYWORD
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Riedel¡¯s thyroiditis, Hashimoto¡¯s thyroiditis, Microsurgery
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