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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Tuberculous Lymphadenitis Masquerading as Nodal Metastasis in Follicular Variant of Papillary Thyroid Carcinoma

J. Varshaa, Manish Marlecha, Prakash Kothari, Vikram Yogish and Anthony Joseph Britto
Page: 271-274 | Received 25 Dec 2023, Published online: 23 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.2.271.274

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Abstract

Papillary thyroid carcinoma (PTC) is the most common form of thyroid cancer and the follicular variant (FV‐PTC) is the most prevalent subtype. However, distinguishing between metastatic cervical lymphadenopathy in PTC and tuberculous (TB) lymphadenitis can be challenging, particularly in regions with a high prevalence of TB. This case report describes a 64‐year‐old woman who was diagnosed with invasive encapsulated FV‐PTC and cervical lymph node granulomatous lymphadenitis, which is suggestive of TB. This case highlights the complexity of diagnosis and the importance of a multidisciplinary approach, including anti‐TB treatment in high‐prevalence regions. Cervical lymphadenopathy in FV‐PTC may not always indicate metastasis and TB should be considered, especially in patients with HIV coinfection and developing countries. Comprehensive preoperative evaluation, including imaging and fine‐needle aspiration cytology, is crucial for an accurate diagnosis and tailored treatment. This case is the first Southeast Asian instance of FV‐PTC, emphasizing the diagnostic challenges in regions with an elevated TB prevalence. FV‐PTC’s distinct behavior necessitates nuanced management and TB should be considered in cases of cervical lymphadenopathy.

How to cite this article:

J. Varshaa, Manish Marlecha, Prakash Kothari, Vikram Yogish and Anthony Joseph Britto. Tuberculous Lymphadenitis Masquerading as Nodal Metastasis in Follicular Variant of Papillary Thyroid Carcinoma.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.271.274
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.271.274