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Tumay Ozgur Departments of Pathology, Mustafa Kemal University Medical Faculty, Hatay, Turkey

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Hasan Gokce Departments of Pathology, Mustafa Kemal University Medical Faculty, Hatay, Turkey

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Ihsan Ustun Endocrinology and Metabolism, Mustafa Kemal University Medical Faculty, Hatay, Turkey

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Mehmet Yaldiz Departments of Pathology, Mustafa Kemal University Medical Faculty, Hatay, Turkey

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Mehmet Mustafa Akin Departments of Pathology, Mustafa Kemal University Medical Faculty, Hatay, Turkey

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Cumali Gokce Endocrinology and Metabolism, Mustafa Kemal University Medical Faculty, Hatay, Turkey

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. What This Case Report Adds • An unusual case of Riedel thyroiditis in a patient with asymptomatic multinodular goiter and thyroid autoantibodies. • The true nature of thyroid pathology in this case was suggested by ultrasonography (not by fine

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Mafalda Marcelino Department of Endocrinology, Armed Forces University Hospital, Lisbon, Portugal
Department of Endocrinology, Portuguese Institute of Oncology, Lisbon, Portugal

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Pedro Marques Department of Endocrinology, Portuguese Institute of Oncology, Lisbon, Portugal

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Luis Lopes Department of Endocrinology, Armed Forces University Hospital, Lisbon, Portugal

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Valeriano Leite Department of Endocrinology, Portuguese Institute of Oncology, Lisbon, Portugal

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João Jácome de Castro Department of Endocrinology, Armed Forces University Hospital, Lisbon, Portugal

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]. Larger and prospective studies are required to evaluate this issue. Moreover, there are some data reporting unusual toxic thyroid carcinomas [ 9 ], and recent studies suggest that the frequency of malignancy in toxic multinodular goiter (TMNG) is

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Rui Guo Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Bowen Zheng Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Tao Wu Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Yufan Lian Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Tinghui Yin Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Yuting He Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Jingya Qin Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Zhicheng Yao Department of General Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Wen Xu Department of Endocrinology and Metabolism, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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Jie Ren Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province Key Laboratory of Hepatology Research, Guangzhou, Guangdong, People’s Republic of China

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criteria, 29 patients were excluded due to their previous history of thyroid surgery or radioactive iodine treatment. Ultimately, 185 patients were included ( Fig. 2 ). Figure 2 Flowchart of the retrospective study. MNG, multinodular goiter; RFA

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Hippolyte Dupuis Department of Endocrinology, Diabetology and Metabolism, Huriez Hospital, Lille University Hospital, Lille, France
University of Lille, Lille, France

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Emilie Merlen Department of Endocrinology, Diabetology and Metabolism, Huriez Hospital, Lille University Hospital, Lille, France

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Arnaud Jannin Department of Endocrinology, Diabetology and Metabolism, Huriez Hospital, Lille University Hospital, Lille, France
University of Lille, Lille, France

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Philippe Jamme University of Lille, Lille, France
Department of Dermatology, Lille University Hospital, Lille, France

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Alexandre Fagart Department of Nuclear Medicine, Valenciennes Hospital Center, Valenciennes, France

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Marie-Christine Vantyghem Department of Endocrinology, Diabetology and Metabolism, Huriez Hospital, Lille University Hospital, Lille, France
University of Lille, Lille, France

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Miriam Ladsous Department of Endocrinology, Diabetology and Metabolism, Huriez Hospital, Lille University Hospital, Lille, France

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) examination revealed a 51.6 mL multinodular goiter (MNG) with three main nodules in the right lobe (one 15 mm EU-TIRADS III nodule and two EU-TIRADS IV micronodules) and two nodules in the left lobe (25 mm EU-TIRADS V in the middle part and 33 mm EU-TIRADS III

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Nooshin Zargari Pathology Department, Shiraz University of Medical Sciences, Shiraz, Iran

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Maral Mokhtari Pathology Department, Shiraz University of Medical Sciences, Shiraz, Iran

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architecture and PTC nuclear features, no invasion (capsular or vascular), solid component < 30%, mitotic count of < 3/10 high power field, and no necrosis; as multinodular goiter (MNG) if showing huge follicles lined by flattened epithelium; as Hurthle cell

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Lucia Russo Department of Medicine, DIMED, Internal Medicine 3, University of Padua, Padova, Italy
Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

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Thi Ngoc Huyen Nguyen Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

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Aglaia Kyrilli Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

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Martin Robin Department of Nuclear Medicine, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

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Pierre Bel Lassen Department of Urology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium

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Rodrigo Moreno-Reyes UMRS 1166 (Inserm), Paris, France

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Bernard Corvilain Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

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following the correction of eSCH due to multinodular goiter by another therapeutic modality, radioactive iodine ( 131 I). In the absence of a euthyroid control group treated by 131 I, we compared patients with grade 1 eSCH and grade 2 eSCH to investigate

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Tomasz Bednarczuk Department of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, Poland

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Thomas H. Brix Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark

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Wolfgang Schima Department of Diagnostic and Interventional Radiology, Goettlicher Heiland Krankenhaus, Barmherzige Schwestern Krankenhaus, and Sankt Josef Krankenhaus, Vienna, Austria

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Georg Zettinig Schilddruesenpraxis Josefstadt, Vienna, Austria

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George J. Kahaly Department of Medicine I, Johannes Gutenberg University (JGU) Medical Center, Mainz, Germany

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previously asymptomatic multinodular goiter. Nowadays, elderly patients are more often exposed to radiological studies using ICM than in the past because of major technological advances and increased longevity. Hyper in the elderly is more likely

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Mohamed E. Ahmed Khartoum Teaching Hospital, Khartoum, Sudan
Departments of Medicine, Khartoum, Sudan

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Mohamed A. Mahgoub Khartoum Teaching Hospital, Khartoum, Sudan

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Mohamed G. Alnedar Khartoum Teaching Hospital, Khartoum, Sudan

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Seif I. Mahadi Khartoum Teaching Hospital, Khartoum, Sudan
Departments of Medicine, Khartoum, Sudan

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Maha Alzubeir Surgery, Faculty of Medicine, Khartoum, Sudan

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Lamyaa A.M. El Hassan University of Ahfad, Khartoum, Sudan

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ElWaleed M. Elamin Alzaeim Alazhari University, Khartoum, Sudan

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Ahmed Mohammed El Hassan University of Khartoum, Khartoum, Sudan

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solids. Upper gastrointestinal endoscopy was normal. There was some degree of ptosis that was detected retrospectively after the final diagnosis was made. General examination was unremarkable. Cervical examination showed a simple multinodular goiter

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Thomas Szabo Yamashita Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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Fady J. Baky Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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Travis J. McKenzie Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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Geoffrey B. Thompson Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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David R. Farley Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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Melanie L. Lyden Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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Benzon M. Dy Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA

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. Preoperative ultrasound showed that 83% of patients who underwent thyroidectomy had multinodular goiter, with a minority presenting solitary nodules. There were 9 (19%) patients diagnosed with thyroid cancer at a mean age of 28.5 years (16–41 years) and all

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Marek Niedziela Department of Pediatric Endocrinology and Rheumatology, Poznan University of Medical Sciences, Poznan, Poland

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Nelly Sabbaghian Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Québec, Canada

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Leanne de Kock Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Québec, Canada
Department of Human Genetics, McGill University, Montreal, Québec, Canada

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William D. Foulkes Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Québec, Canada
Department of Human Genetics, McGill University, Montreal, Québec, Canada

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a similar ultrasonographic pattern to papillary thyroid carcinoma should be considered in the differential diagnosis of an apparent thyroid nodule [ 1 , 2 ]. Thyroid disease, particularly multinodular goiter (MNG), is the most frequent feature

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