Diagnostic and Management Guidelines of Thyroid Tuberculosis: Our Experience and Systematic Review.
Indian J Otolaryngol Head Neck Surg
; 75(2): 1302-1310, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-37275094
ABSTRACT
Objective:
Thyroid tuberculosis has non-specific clinical presentation, difficult diagnosis and specific medical management. The aim of this article is to present and share a review of the English-language literature on thyroid tuberculosis in order to gain a better understanding of diagnostic methods and provide guidelines for its management and to present our experience of three cases.Methods:
The systematic search of the literature was performed on Pubmed and Medline from 1950 to 2019 according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement.Results:
We retrieved 13 manuscripts meeting our criteria from the search. There were 7 case series, and 6 manuscripts with review of the literature.Conclusion:
Direct histopathological demonstration is the best diagnostic modality. FNAC is the study of choice and PCR assay increases its sensitivity. The standard short course ATT for 6 months is recommended for isolated thyroid TB and for widespread disease, 12 months therapy is recommended. Surgery is reserved for failure of medical therapy and abscess formation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Systematic_reviews
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article