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Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland: a study of 18 cases

Published online by Cambridge University Press:  29 June 2007

Asitava Mondal  and
D. K. Patra
Asitava Mondal*
Affiliation:
Department of Cytopathology, S.V.S. Marwari Hospital and Cancer Detection Centre, Calcutta.
D. K. Patra
Affiliation:
Department of Surgery, Tamluk Hospital, Tamluk, India.
*
Address for correspondence: Dr Asitava Mondal, D-l: Cluster-1, Purbachal, Salt Lake City, Calcutta-700 091, India.
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Abstract

Tuberculosis of the thyroid gland is an extremely rare condition. Amongst 1565 cases of thyroid lesions subjected to fine needle aspiration cytology (FNAC) over a period of nine years, 18 cases (1.15 per cent) were found to have cytological features consistent with tuberculosis thyroiditis. Acid-fast bacilli were isolated in all cases. The ages of the patients ranged from 36 to 52 years with a median age of 46 years: there were 12 females and 6 males. All the patients presented with painless solitary nodules of the thyroid. Three patients had concomitant cervical lympadenopathy and four patients were known to have tuberculosis of the lungs which was being treated. Solitary nodules of the thyroid were confirmed by a thyroid scan with radioactive iodine. Fine needle aspirates from thyroid swellings showed epithelioid granulomas with necrosis in all cases. There were no false reports or complications.

It is evident from this study that FNAC is an efficient way with which to detect tuberculosis of the thyroid gland.

Keywords

TuberculosisThyroid glandCytology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 1 , January 1995 , pp. 36 - 38
Copyright
Copyright © JLO (1984) Limited 1995

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References

Barnes, P., Weatherstone, R. (1979) Tuberculosis of the thyroid: two case reports. British Journal of Diseases of the Chest 73: 187–191.CrossRefGoogle ScholarPubMed
Carter, E. A. (1958) Tuberculosis of the thyroid. British Journal of Surgery 46: 176–177.CrossRefGoogle ScholarPubMed
Crompton, G. K., Cameron, S. J. (1969) Tuberculosis of the thyroid gland mimicking carcinoma. Tubercle 50: 61–64.CrossRefGoogle ScholarPubMed
Das, D. K., Pant, C. S., Chachra, K. L., Gupta, A. K. (1992) Fine needle aspiration cytology diagnosis of tuberculous thyroiditis: a report of eight cases. Acta Cytologica 36: 517–522.Google ScholarPubMed
Emery, P. (1980) Tuberculosis abscess of the thyroid with recurrent laryngeal nerve palsy: case report and review of literature. Journal of Laryngology and Otology 94: 553–558.CrossRefGoogle Scholar
Goldfarb, M. D., Schifrin, D., Graig, M. D. (1965) Thyroiditis caused by tuberculous abscess of the thyroid gland. American Journal of Medicine 38: 825–827.CrossRefGoogle ScholarPubMed
Greene, J. N. (1971) Subacute thyroiditis. American Journal of Medicine 51: 97–108.CrossRefGoogle ScholarPubMed
Johnson, A. G., Philips, M. E., Thomas, R. J. S. (1973) Acute tuberculous abscess of the thyroid gland. British Journal of Surgery 60: 668–669.CrossRefGoogle ScholarPubMed
Karlish, A. J., MacGregor, G. A. (1970) Sarcoidosis, thyroiditis and Addison's disease. Lancet 2: 330–333.CrossRefGoogle ScholarPubMed
Klassen, K. P., Curtis, G. M. (1945) Tuberculous abscess of the thyroid gland. Surgery 17: 552–559.Google Scholar
Laohapand, T., Ratanarapee, S., Chantarakul, N., Vitavasiri, A. (1981) Tuberculous thyroiditis: a case report. Journal of the Medical Association of Thailand 64: 256–260.Google ScholarPubMed
Liote, H. A., Spaulding, C., Bazally, B., Milleron, B. J., Akoun, G. (1987) Thyroid tuberculosis associated with mediastinal lymphadenitis. Tubercle 68: 229–231.CrossRefGoogle ScholarPubMed
Mondal, A., Sadhukhan, B., Roychaudhuri, B. K., Banerjee, S. (1992) Cytodiagnostic accuracy of fine needle aspiration biopsy of cold nodules of the thyroid: a study of 853 cases. Indian Journal of Laryngology and Otology 2: 63–65.Google Scholar
Sachs, M. K., Dickinson, G., Amazon, K. (1988) Tuberculous adenitis of the thyroid mimicking subacute thryroiditis. American Journal of Medicine 85: 573–575.CrossRefGoogle Scholar