J Korean Thyroid Assoc.  2013 Nov;6(2):131-134. 10.11106/jkta.2013.6.2.131.

Co-existence of Papillary Thyroid Cancer with Tuberculosis Involving the Thyroid and Ipsilateral Paratracheal Lymph Node: A Case Report

• Sah DJ
• Choi JH
• Kim YJ
• Kim SW

• KMID: 1845386
• DOI: http://doi.org/10.11106/jkta.2013.6.2.131

Abstract

There are relatively rare cases concerning about concurrent papillary thyroid cancer and thyroid tuberculosis with cervical tuberculous lymphadenitis in English literature so far. Cervical lymphadenitis (scrofula) is a common manifestation of extra-pulmonary invasion of the tuberculosis. A cervical tuberculous lymphadenitis could be confused with metastatic lymph node from the thyroid cancer. A 49-year-old woman with multiple right thyroid nodules of Bethesda category VI referred our department for surgery. We performed the right thyroid lobectomy with anterior compartment neck dissection. The histopathology revealed concurrent papillary thyroid carcinoma and thyroid tuberculosis with cervical tuberculous lymphadenitis. We report a unique case of concurrent papillary thyroid cancer and tuberculosis involving the thyroid gland and ipsilateral paratracheal lymph node with literature review. To our best knowledge, such case has not been reported earlier.

Keyword

Papillary carcinoma; Thyroid; Tuberculosis; Lymph node

MeSH Terms

Carcinoma
Carcinoma, Papillary
Female
Humans
Lymph Nodes*
Lymphadenitis
Middle Aged
Neck Dissection
Thyroid Gland*
Thyroid Neoplasms*
Thyroid Nodule
Tuberculosis*
Tuberculosis, Lymph Node