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. 2022 Jun 30;8(2):e131-e135.
doi: 10.1055/s-0041-1740626. eCollection 2022 Apr.

Coexistence of Histologically Proven Chronic Lymphocytic Thyroiditis with Other Thyroid Disorders: A Retrospective Study

G Gejoe  1 , I P Yadev  1 , Amrutha Kumaran  1 , K S Swasthik  1 , Meer M Chisthi  1
Affiliations

Coexistence of Histologically Proven Chronic Lymphocytic Thyroiditis with Other Thyroid Disorders: A Retrospective Study

G Gejoe et al. Surg J (N Y). .

Abstract

Background Hashimoto's thyroiditis (HT) is the commonest autoimmune thyroid pathology. It has been reported in increased numbers recently, probably due to the increase in autoimmune diseases across many parts of the world. It is sometimes found associated with other diseases as well as other diseases of the thyroid. There is an unproven association of this condition with thyroid cancer, particularly papillary thyroid carcinoma (PTC). Methods This was a retrospective study performed over a period of 5 years. The objectives of this study were to find out the prevalence of histopathologically proven HT in surgically resected thyroid glands for various indications and its association with other thyroid disorders, especially thyroid malignancies. Total 4,630 patients who underwent thyroidectomy during the study period and met the criteria for inclusion were considered for analysis. Results Histopathologically proven features of HT were present in 1,295 (28%) of the cases. Among these, 445 (34.36%) had only HT while 850 (65.66%) had HT along with other thyroid diseases. The most common disease associated with HT was multinodular goiter (44.2%), followed by PTC (15.2%). Patients with HT exhibited a higher rate of papillary cancer (16.7%) compared with patients without this pathology (13.8%). Statistically significant association between papillary cancer and HT was found among the female patients. Conclusion The prevalence of HT in patients undergoing thyroidectomy is high in the studied population. A statistically significant association exists between papillary thyroid cancer and thyroiditis among female patients. This could form the basis for further research along these lines.

Keywords: Hashimoto's thyroiditis; multinodular goiter; papillary thyroid cancer; thyroid.

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Conflict of interest statement

Conflicts of Interest None to state.

Figures

Fig. 1
Fig. 1
Bar graph showing the distribution of thyroiditis in histopathology.
Fig. 2
Fig. 2
Grouped bar graph showing association between thyroiditis and papillary thyroid cancer.
See this image and copyright information in PMC

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