Citation Information :
Garg S, Sinha N, Ghosh R, Kashyap S, Dandekar M. Thyroidectomy for Pain Alleviation in Hashimoto's Thyroiditis: Case Report and Review of Literature. Int J Head Neck Surg 2023; 14 (2):33-35.
Introduction: Painful thyromegaly is a rare manifestation in Hashimoto's thyroiditis. Management is conservative with surgery reserved for pain palliation. Challenges in surgery occur due to bouts of inflammation.
Case description: Middle-aged lady of Hashimoto's thyroiditis with recurrent episodes of neck pain underwent total thyroidectomy for pain relief. There were no postoperative complications.
Discussion: Surgical outcomes for thyroiditis in literature are in retrospect on surgical specimen concomitant with primary diagnosis. This is a unique case reported about surgery for pain palliation. Authors discuss difficulties encountered in surgery and pointers to overcome them.
Singer PA. Thyroiditis. Acute, subacute, and chronic. Med Clin North Am 1991;75(1):61–77. DOI: 10.1016/s0025-7125(16)30472-2
Pearce EN, Farwell AP, Braverman LE. Thyroiditis. N Engl J Med 2003;348(26):2646–2655. DOI: 10.1056/NEJMra021194
Gan X, Feng J, Deng X, et al. The significance of Hashimoto's thyroiditis for postoperative complications of thyroid surgery: a systematic review and meta-analysis. Ann R Coll Surg Engl 2021;103(3):223–230. DOI: 10.1308/rcsann.2020.7013
Thomusch O, Sekulla C, Billmann F, et al. Risk profile analysis and complications after surgery for autoimmune thyroid disease. Br J Surg 2018;105(6):677–685. DOI: 10.1002/bjs.10770
Ravikumar K, Muthukumar S, Sadacharan D, et al. The impact of thyroiditis on morbidity and safety in patients undergoing total thyroidectomy. Indian J Endocrinol Metab 2018;22(4):494–498. DOI: 10.4103/ijem.IJEM_209_17
McManus C, Luo J, Sippel R, et al. Is thyroidectomy in patients with Hashimoto thyroiditis more risky? J Surg Res 2012;178(2):529–532. DOI: 10.1016/j.jss.2012.09.017
Chiovato L, Latrofa F, Braverman LE, et al. Disappearance of humoral thyroid autoimmunity after complete removal of thyroid antigens. Ann Intern Med 2003;139(5 Pt 1):346–351. DOI: 10.7326/0003-4819-139-5_part_1-200309020-00010
Guldvog I, Reitsma LC, Johnsen L, et al. Thyroidectomy versus medical management for euthyroid patients with Hashimoto disease and persisting symptoms: a randomized trial. Ann Intern Med 2019;170(7):453–464. DOI: 10.7326/M18-0284
Sato J, Uchida T, Komiya K, et al. Comparison of the therapeutic effects of prednisolone and nonsteroidal anti-inflammatory drugs in patients with subacute thyroiditis. Endocrine 2017;55(1):209–214. DOI: 10.1007/s12020-016-1122-3
Tajiri J. Radioactive iodine therapy for goitrous Hashimoto's thyroiditis. J Clin Endocrinol Metabol 2006;91(11):4497–4500. DOI: 10.1210/jc.2006-1163