{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T16:08:35Z","timestamp":1761581315165},"reference-count":10,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Endocrinology"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>A 44-year-old female presented with a two-month history of a neck mass, sore throat, hoarseness, and intermittent dysphagia. Examination revealed a \u201cwoody\u201d hard swelling arising from the right lobe of the thyroid. Clinically this was felt to be classical Riedel\u2019s thyroiditis (RT). Thyroid ultrasound showed a diffusely enlarged, low echogenicity thyroid with a multinodular goitre. An abnormal nodule extending across the isthmus was noted. Following a nondiagnostic fine needle aspiration, an open core biopsy was performed. This showed dense sclerotic fibrosis punctuated by nodular mononuclear inflammatory cells, which obscured follicular epithelial cells consistent with a fibrosing thyroiditis (Riedel\u2019s thyroiditis). A biopsy of pretracheal lymph nodes showed a sclerotic process throughout the lymph nodes and nests of epithelium bands with squamous differentiation obscured by a fibrous process. These findings raised the differential diagnosis of diffuse sclerosing variant of papillary thyroid carcinoma (DSV-PTC) with metastasis to lymph nodes. A total thyroidectomy and pretracheal lymph node dissection were performed. The final histological diagnosis was DSV-PTC. When managing a patient with presumed RT it is important to consider malignancy in the differential. DSV-PTC is one of the more aggressive forms of thyroid cancer but with early diagnosis and appropriate treatment patients may have excellent outcomes.<\/jats:p>","DOI":"10.1155\/2015\/686085","type":"journal-article","created":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T20:55:47Z","timestamp":1433364947000},"page":"1-3","source":"Crossref","is-referenced-by-count":2,"title":["A Case Report Demonstrating How the Clinical Presentation of the Diffuse Sclerosing Variant of Papillary Thyroid Carcinoma Can Mimic Benign Riedel\u2019s Thyroiditis"],"prefix":"10.1155","volume":"2015","author":[{"given":"Jennifer","family":"Walsh","sequence":"first","affiliation":[{"name":"Department of Endocrinology, South Infirmary Victoria University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomas P.","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, South Infirmary Victoria University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmel B.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Pathology, Cork University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Fitzgibbon","sequence":"additional","affiliation":[{"name":"Department of Pathology, Cork University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Sheahan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, South Infirmary Victoria University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew S.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, South Infirmary Victoria University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-0617"},{"key":"2","first-page":"101","volume-title":"Die chronische, zur Bildung eisenharter Tumoren fuehrende Entzundung der Schildduese","volume":"25","year":"1896"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.3800797"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.1989.tb01277.x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2010.11.5.579"},{"issue":"2","key":"6","first-page":"113","volume":"76","year":"2007","journal-title":"The Ulster Medical Journal"},{"key":"7","first-page":"S50","volume":"121","year":"2004","journal-title":"The American Journal of Clinical Pathology"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2010.0021"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1159\/000331981"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1385\/ep:16:4:331"}],"container-title":["Case Reports in Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crie\/2015\/686085.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crie\/2015\/686085.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crie\/2015\/686085.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T22:16:40Z","timestamp":1469657800000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crie\/2015\/686085\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":10,"alternative-id":["686085","686085"],"URL":"https:\/\/doi.org\/10.1155\/2015\/686085","relation":{},"ISSN":["2090-6501","2090-651X"],"issn-type":[{"value":"2090-6501","type":"print"},{"value":"2090-651X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}