ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Endocrine Abstracts (2008) 16 P776

Is thyroid tuberculosis actually not rare?

M Fatih Yuzbasioglu1, Mesut Ozkaya2, Erman Cakal3, Harun Ciralik4, Nazan Okur5 & Kadir Gisi2

1Department of General Surgery, Sutcu Imam University Medical Faculty, Kahramanmaras, Turkey; 2Department of Endocrinology and Metabolism, Sutcu Imam University Medical Faculty, Kahramanmaras, Turkey; 3Department of Endocrinology and Metabolism, Yuksek Ihtisas Hospital, Ankara, Turkey; 4Department of Pathology, Sutcu Imam University Medical Faculty, Kahramanmaras, Turkey; 5Department of Radiology, Sutcu Imam University Medical Faculty, Kahramanmaras, Turkey.

Background and aim: Thyroid gland is considered to be rare site of extrapulmonary tuberculosis (tbc), even in countries with a high prevalance. The aim of this study is to ases the correlation between thyroid nodules and pulmonary tbc with fine needle aspiration cytology (FNAC) and to find out the incidence of thyroid gland tbc.

Material and methods: The main purpose of this study is to find out tbc incidence in pulmonary tbc patients with thyroid nodules. FNAC is a rapid and minimally invasive approach to diagnose extrapulmonary tbc and has been used successfully in thyroid malignancies. Thyroid function tests and ultrasonography (USG) investigations were carried out an each patient. FNAC is carried out patients who had solid or dominant nodule in multinodular ones via USG.

Results: The present study included 596 cases of pulmonary tbc of which 201 cases had solid or multible nodules. Majority of 201 of 596 patients were in the age group of 18–72. Mean age was 40.16 with male to female ratio of 1:1.093. Except one, none of the patients diagnosed n tbc in thyroid nodule.

Conclusion: The incidence of tbc increasing worldwide, the unusual presentation of extrapulmonary tbc presents a diagnostic challenge. The findings of this study suggest that FNAC no need to be used as routine line of investigation fort he diagnosis of thyroid nodules in cases of pulmonary tbc.

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