Evidence map›Paper›PMID 31387553›Full record

ReviewBMC endocrine disorders2019

Thyroid primary and metastatic malignant tumours of poor prognosis may mimic subacute thyroiditis - time to change the diagnostic criteria: case reports and a review of the literature.

Magdalena Stasiak, Renata Michalak, Andrzej Lewinski

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC endocrine disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. How to manage subacute thyroiditis.Drugs in context · 2026
    Review
  5. Review
  6. Post-dengue subacute thyroiditis in a Peruvian woman: case report and literature review.Revista peruana de medicina experimental y salud publica · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. New aspects in the pathogenesis and management of subacute thyroiditis.Reviews in endocrine & metabolic disorders · 2021
    Review
  14. Acute suppurative thyroiditis due toArchives of endocrinology and metabolism · 2021
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Painful Subacute Thyroiditis is Commonly Misdiagnosed as Suspicious Thyroid Nodular Disease.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Magdalena StasiakDepartment of Endocrinology and Metabolic Diseases, Polish Mother's Memorial Hospital - Research Institute, 281/289 Rzgowska St., 93-338, Lodz, Poland.
Renata MichalakDepartment of Endocrinology and Metabolic Diseases, Polish Mother's Memorial Hospital - Research Institute, 281/289 Rzgowska St., 93-338, Lodz, Poland.
Andrzej LewinskiDepartment of Endocrinology and Metabolic Diseases, Polish Mother's Memorial Hospital - Research Institute, 281/289 Rzgowska St., 93-338, Lodz, Poland. alewin@csk.umed.lodz.pl.ORCID http://orcid.org/0000-0002-8748-3337
Polish Mother’s Memorial Hospital Research Institute · PLMedical University of Lodz · PL

Funding

Statutory Funds of Polish Mother`s Memorial Hospital - Research institute, Lodz, Poland Not applicable
6 · The paper itself

Abstract

backgroundThe diagnosis of subacute thyroiditis (SAT) is based mainly on the presence of painful thyroid goitre and a significant increase in erythrocyte sedimentation rate (ESR). Proceeding according to these diagnostic criteria may lead to an incorrect diagnosis and treatment. Extremely dangerous is the situation when the diagnosis of SAT is erroneously made based on criteria other than ultrasound (US) image and fine needle aspiration biopsy (FNAB), which leads to delayed diagnosis of malignant tumour with poor prognosis. CASE PRESENTATION: Five patients with typical SAT symptoms are presented. In all of them, anaplastic thyroid cancer or metastatic thyroid tumours were finally diagnosed as the cause of the initial symptoms resembling SAT. Most of the patients were initially misdiagnosed and the proper diagnosis of malignancy was delayed.

conclusionsThe authors have proposed the new diagnostic criteria for SAT, and strongly suggest that thyroid gland US should be included in the main criteria of SAT diagnosis, together with FNAB result excluding the presence of malignant tumour.

Indexed as

AgedAged, 80 and overDiagnosis, DifferentialFemaleHumansMaleMiddle AgedPrognosisThyroiditis, SubacuteThyroid NeoplasmsUltrasonographyDiagnostic criteriaMetastasisPainful goiterSubacute thyroiditisThyroid cancer

Identifiers

PMID31387553
PMCPMC6683567
OpenAlexW2966715275

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.