ID | 54618 |
FullText URL | |
Title Alternative | Probable IgG4-related thyroiditis with cervical lymphadenopathy
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Author |
Kobashi, Kenta
Department of Surgery, Saiseikai Saijo Hospital
Ishii, Hiroshi
Department of Surgery, Saiseikai Saijo Hospital
Nishiyama, Kanako
Breast Center, Ehime University Hospital
Matsumi, Yuki
Department of Surgery, Saiseikai Saijo Hospital
Hatano, Masahide
Department of Surgery, Saiseikai Saijo Hospital
Fujiwara, Masamitsu
Department of Surgery, Imabariishikaishimin Hospital
Kurokawa, Tatsuo
Department of Surgery, Saiseikai Saijo Hospital
Tsunemitsu, Kensuke
Department of Surgery, Saiseikai Saijo Hospital
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Abstract | We present a case of probably IgG4-related thyroiditis with lymphadenopathy. The patient was a 70-year-old Japanese female who was undergoing hemodialysis and had undergone a right hemi-thyroidectomy in 1989 due to carcinoma. In December 2010, an ultrasonography study revealed a hypoechoic small lesion in thyroid gland. When the patient was admitted to our hospital in November 2013, the lesion and regional lymph nodes had enlarged and we suspected that they were metastatic thyroid cancer. We performed a residual total thyroidectomy and regional lymph node dissection in August 2014. At that time, lymphoplasmacytic infiltration and fibrosis were observed histopathologically in thyroid tissue. Immunohistochemical studies revealed infiltrated lymphocytes and plasma cells were markedly IgG-positive, and the ratio of IgG4-positive to IgG-positive cells was over 40%. We therefore diagnosed the patient with IgG4-related thyroiditis. The cervical lymph nodes were metastases of papillary carcinoma from 25 years earlier. The patient remains well without any recurrences 33 months after the surgery.
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Keywords | IgG4 関連甲状腺炎(IgG4-related thyroiditis)
橋本病(Hashimoto’s thyroiditis)
転移性リンパ節腫瘍(metastatic lymph node tumor)
慢性腎不全(chronic renal failure)
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Note | 症例報告(Case Reports)
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Published Date | 2016-12-01
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Publication Title |
Journal of Okayama Medical Association
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Publication Title Alternative | Journal of Okayama Medical Association
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Volume | volume128
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Issue | issue3
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Publisher | 岡山医学会
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Publisher Alternative | Okayama Medical Association
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Start Page | 213
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End Page | 216
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ISSN | 0030-1558
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NCID | AN00032489
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Content Type |
Journal Article
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Official Url | http://www.okayama-u.ac.jp/user/oma/
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language |
Japanese
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Copyright Holders | Copyright (c) 2016 岡山医学会
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File Version | publisher
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Refereed |
True
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Eprints Journal Name | joma
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