TB Research

A TIRADS V Thyroid Nodule Revealing Tuberculosis: A Rare Case of Thyroid Tuberculosis

Hanine Mohamed Amine, Atmani Walid, Amchich Younes, Haddou Ammar

Scholars Journal of Medical Case Reports · 2025-10

Abstract

Introduction: Thyroid tuberculosis is a rare form of extrapulmonary tuberculosis. Due to its nonspecific clinical and radiological presentation, it can easily mimic thyroid cancer. Case report: A 55-year-old female presented with a thyroid swelling. Neck ultrasound showed a 26 mm TIRADS V nodule. Total thyroidectomy was performed. Histopathological examination revealed isolated thyroid tuberculosis. Discussion: This case highlights the rarity of thyroid tuberculosis and the diagnostic challenge it poses. It underlines the importance of considering this diagnosis in the differential, especially in endemic areas. Conclusion: Even when clinical and imaging signs suggest malignancy, thyroid tuberculosis should be considered. Histology remains crucial for diagnosis and management.

MeSH terms

  • Medicine
  • Thyroid
  • Nodule (geology)
  • Pathology
  • Tuberculosis
  • Histopathological examination
  • Thyroid nodules
  • Histology
  • Radiology
  • Thyroidectomy
  • Extrapulmonary tuberculosis
  • Ultrasound
  • Radiological imaging
  • Ultrasonography
  • Thyroiditis