A 25-year-old female presented with features of weight gain and loss of appetite and easy fatigue. On examination a swelling was noticed in anterior aspect of neck which moved with deglutination. Biopsy performed from neck revealed the following. What is your diagnosis?
Reidel's thyroiditis
Hashimoto thyroiditis
Follicular carcinoma thyroid
Graves disease
Ans. (b) Hashimoto's thyroiditis*The history given suggests a thyroid swelling. The given biopsy from the same shows thyroid parenchyma containing a dense lymphocytic infiltrate with germinal centers. Residual thyroid follicles are lined by deeply eosinophilic Hurthle cells. This suggests Hashimoto's thyroiditis.
Endocrine