UNASSIGNED: A 44-year-old female presented with a two-month history of a neck mass, sore throat, hoarseness, and intermittent @entity1282 . Examination revealed a "woody" hard @entity4 arising from the right lobe of the thyroid. Clinically this was felt to be classical @entity8426 ( @entity8426 ). Thyroid ultrasound showed a diffusely enlarged, low echogenicity thyroid with a @entity1376 . An abnormal nodule extending across the isthmus was noted. Following a nondiagnostic fine needle aspiration, an open core biopsy was performed. This showed dense @entity82 punctuated by nodular mononuclear inflammatory cells, which obscured follicular epithelial cells consistent with a fibrosing @entity1374 ( @entity8426 ). 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 @entity3557 ( @entity3557 ) with @entity3 to lymph nodes. A total thyroidectomy and pretracheal lymph node dissection were performed. The final histological diagnosis was @entity3557 . When managing a @entity1 with presumed @entity8426 it is important to consider @entity5 in the differential. @entity3557 is one of the more @entity259 but with early diagnosis and appropriate treatment @entity1 may have excellent outcomes.

A Case Report Demonstrating How the Clinical Presentation of the Diffuse Sclerosing Variant of @entity3557 Can Mimic Benign Riedel's XXXX .

@entity3557 :: ('MESH:C536915', 'Disease') :: ['DSV-PTC', 'diffuse sclerosing variant of papillary thyroid carcinoma'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity82 :: ('MESH:D005355', 'Disease') :: ['sclerotic fibrosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity4 :: ('MESH:D004487', 'Disease') :: ['swelling'] @entity1376 :: ('MESH:C564546', 'Disease') :: ['multinodular goitre'] @entity8426 :: ('MESH:D013966', 'Disease') :: ['RT', "Riedel's thyroiditis"] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity259 :: ('MESH:D013964', 'Disease') :: ['aggressive forms of thyroid cancer'] @entity1374 :: ('MESH:D013959', 'Disease') :: ['thyroiditis']
@entity1374 :: (MESH:D013959,Disease) :: ['Thyroiditis']
