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Indian J Pathol Microbiol. 2020 Jan-Mar;63(1):83-85. doi: 10.4103/IJPM.IJPM_719_18.

Uncommon affliction of a common disease - primary tuberculosis of thyroid gland.

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Department of Pathology, Command Hospital, Pune, Maharashtra, India.
Department of Radiodiagnosis and Imaging, Command Hospital, Pune, Maharashtra, India.


Tuberculosis (TB) continues to be a major public health problem in India. With an annual incidence rate of 2.8 million new cases, India accounts for a quarter of the global TB burden. Primary thyroid TB still remains a rare entity even in this era of global TB pandemic. Here we discuss a case of primary thyroid TB in a 22-year-old immunocompetent male patient presenting with a thyroid swelling followed by non-healing sinus tract after fine-needle aspiration cytology (FNAC) procedure. TB is a known common cause for development of chronic sinuses and ulcers. However, the primary involvement of thyroid gland along with formation of non-healing sinus tract post FNAC make it a most unusual case posing a diagnostic challenge to the unsuspecting physician.


Fine-needle aspiration cytology (FNAC); sinus tract; thyroid; tuberculosis

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