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KMID : 0361020210640110829
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 11 p.829 ~ p.833
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Kikuchi-Fujimoto Disease Masquerading as Bilateral Lymph Node Metastasis in a Patient With Papillary Thyroid Carcinoma: A Case Report and Literature Review
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Jang Dong-Hyuk
Lee Won-Mi
Yoon Ra-Gyoung
Jung Ah-Ra
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Abstract
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Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is commonin young Asian women under the age of 30, and is usually characterized by fever, myalgia,fatigue, and cervical lymphadenopathy. Because patients with KFD often present withnecrotic lesions that are also features of lymph node metastasis, ipsilateral or bilateral lymphnode enlargement in head and neck cancer patients can be disguised as lymph node metastasis.
We present an unusual case of KFD mimicking bilateral metastatic papillary carcinoma ofthe thyroid. This study emphasizes that KFD should be considered when diagnosing lymphnodes with necrotic lesions but without malignant cells in young women.
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KEYWORD
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Kikuchi-Fujimoto disease, Lymphadenopathy, Papillary thyroid carcinoma
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