XXXX in southeastern Turkey: is this the resurgence of a stubborn disease?

@entity1 @entity1374 @entity1353 @entity1376 @entity281 @entity1282 @entity378 @entity1907
BACKGROUND: While @entity378 ( @entity378 ) has been found in many parts of the body, involvement of the thyroid gland is rare. In this study we describe the clinicopathological characteristics of seven @entity1 with primary @entity1374 ( @entity1374 ). METHODS: This report is a retrospective case study of seven @entity1 with @entity1374 who were treated surgically in our clinic between 2004 and 2010. Data collected from the cases included age, sex, clinical presentation, concurrent medical illness, initial diagnosis, and history of @entity1907 . Testing used to establish the diagnosis of @entity1374 included thyroid function tests, histopathological examination, a tuberculin skin test, and FNAC (fine needle aspiration cytology). Surgical procedures, antitubercular therapy, and follow-up data were also analyzed. RESULTS: All seven cases were females between the age of 30 and 60 years (mean = 44.1    9.5 years). Four cases had neck swelling and three had additional complaints of @entity1282 and @entity1353 . While total thyroidectomy was performed in six @entity1 with @entity1376 , a lobectomy was performed in one @entity1 in whom a solitary thyroid nodule was detected. Histopathologic changes consistent with @entity1374 were detected in all @entity1 . Thoracic X-ray, erythrocyte sedimentation rate (ESR) test, and tuberculin skin test (PPD) were performed and all @entity1 were screened for other possible foci of @entity281 . In conclusion, all seven cases were diagnosed with primary @entity378 . While the lobectomy @entity1 was administered a 6-month antitubercular treatment, the total-thyroidectomy @entity1 did not receive any medical treatment postoperatively. During the postoperative follow-up period, which lasted between 6 and 53 months (mean = 37.3    18.6 months), none of the @entity1 had a recurrence of disease. CONCLUSION: @entity378 should be considered in the list of differential diagnoses for thyroid abscesses and nodular lesions in @entity1 living in geographic regions with a high @entity378 prevalence.
