Microfilariae coexisting with a follicular lesion in thyroid aspirate smears in an uncommon case of a retrosternal thyroid mass, clinically presenting as malignancy
2011

Microfilariae in a Thyroid Mass Case

Sample size: 1 publication Evidence: low

Author Information

Author(s): Rekhi Bharat, Kane S. V.

Primary Institution: Tata Memorial Hospital, Parel, Mumbai, India

Hypothesis

Can microfilariae coexist with a follicular lesion in thyroid aspirate smears?

Conclusion

The study highlights the importance of FNAC in diagnosing rare cases of filarial infection in the thyroid.

Supporting Evidence

  • Filarial infection is a public health problem in tropical regions.
  • The patient presented with symptoms that mimicked thyroid cancer.
  • FNAC revealed microfilariae alongside a follicular lesion.
  • The patient was from an area with high endemicity for both goiter and filariasis.

Takeaway

This study shows that a rare type of worm can be found in the thyroid, which can look like cancer, but it can be diagnosed with a special test.

Methodology

Fine-needle aspiration cytology (FNAC) was performed on the thyroid using a 23-gauge needle, with smears stained using Papanicolaou and Giemsa stains.

Limitations

The final histopathological examination could not be performed as the patient died before autopsy.

Participant Demographics

A 55-year-old male from Ranchi, Jharkhand, India.

Digital Object Identifier (DOI)

10.4103/1742-6413.76732

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