Evidence map›Paper›PMID 42879591›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2026

Subacute granulomatous thyroiditis: histopathological spectrum, perineural inflammation, and coexisting lesions.

Muhammed Yunus Akar, Hasan Gucer

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In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Muhammed Yunus AkarRecep Tayyip Erdogan University, Faculty of Medicine, Department of Pathology - Rize, Türkiye.ORCID http://orcid.org/0009-0004-0721-7883
Hasan GucerRecep Tayyip Erdogan University, Faculty of Medicine, Department of Pathology - Rize, Türkiye.ORCID http://orcid.org/0000-0002-9122-379X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSubacute granulomatous thyroiditis is a self-limited inflammatory disorder and the most common cause of painful thyroid disease. Surgically treated cases offer a unique opportunity to explore its histopathological spectrum and co-occurring thyroid pathologies.

methodsWe retrospectively analyzed 44 thyroidectomy specimens diagnosed with subacute granulomatous thyroiditis between 2009 and 2019, evaluating clinical data and detailed histopathological features including inflammation extent and associated thyroid lesions.

resultsThe cohort comprised 36 females and 8 males (mean age 48.1±8.9 years). Preoperative fine-needle aspiration cytology was performed in 68.2% but correctly suggested subacute granulomatous thyroiditis in only one case. Surgery was most indicated for multinodular goiter (63.6%). All cases exhibited confluent folliculocentric granulomas; additional findings included fibrosis (90.9%), neutrophilic infiltration (63.6%), follicular atrophy (63.6%), and perineural inflammation (63.6%). Coexisting follicular nodular disease was present in 88.6% and chronic lymphocytic thyroiditis in 15.9%. Concomitant malignancy was identified in 13 cases (29.5%), predominantly subcentimeter papillary thyroid carcinomas, with no significant clinicopathological associations (p>0.05).

conclusionSubacute granulomatous thyroiditis demonstrates broader pathological significance than traditionally recognized. Perineural inflammation may contribute to pain generation, and the elevated malignancy rate most likely reflects incidental detection due to extensive sampling. These findings highlight diagnostic pitfalls and underscore the importance of careful pathological assessment.

Indexed as

Thyroiditis, SubacuteAdultBiopsy, Fine-NeedleFemaleGranulomaHumansInflammationMaleMiddle AgedRetrospective StudiesThyroidectomyThyroid GlandThyroid Neoplasms

Identifiers

PMID42879591
PMCPMC13660575

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