Sarcoidosis mimicking metastatic papillary thyroid cancer

IntroductionSarcoidosis is a multisystemic, idiopathic disease. It has a highly variable clinical course. It has been reported to present in association with malignancy.

Coexistence of sarcoidosis and thyroid cancer is rarely reported in the literature.Presentatioin of the caseWe present a case with neck swelling for 3 months, and symmetrical painless thyroid enlargement without fixation to deep tissues of the neck. Multiple nodules on the both thyroid lobes, hard irregular, grade two goiter with lymphadenopathy all over anterior neck compartments. Fine needle aspiration cytology was done under ultrasound guide from right thyroid nodule and showed papillary thyroid carcinoma.

Excisional biopsy of the neck lymphnode showed picture typical for sarcoidosis.DiscussionMost researchers believe that patients with pulmonary sarcoidosis are predisposed to develop malignancies, less than a dozen of cases are reported in …