TB Research

Not all that is miliary is tuberculosis: metastatic medullary thyroid carcinoma mimicking miliary tuberculosis

Elham Askari, Mihan Pourabdollah Toutkaboni, Sara Haseli, Mitra Rezaei, Payam Tabarsi, Majid Marjani, Afshin Moniri, Neda Khalili

Abstract

Medullary thyroid carcinoma (MTC) typically manifests as a solitary thyroid nodule, and a miliary pattern on conventional chest imaging is not commonly observed. Here, we report a 58-year-old woman with constitutional symptoms, and innumerable small nodules on chest imaging, mimicking miliary tuberculosis. Pathologic findings confirmed a diagnosis of metastatic MTC.

MeSH terms

  • Miliary tuberculosis
  • Medicine
  • Thyroid carcinoma
  • Medullary cavity
  • Tuberculosis
  • Nodule (geology)
  • Pathology
  • Radiology
  • Thyroid
  • Solitary pulmonary nodule
  • Carcinoma