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February 1985

Esophageal Carcinoma Masquerading as Recurrent Acute Suppurative Thyroiditis

Author Affiliations

From the Departments of Medicine (Drs Walfish, Chan, and Ing) and Surgery (Dr Rosen), Mount Sinai Hospital, Toronto, and the University of Toronto (Drs Walfish, Chan, Ing, and Rosen). Drs Chan and Ing are clinical research fellows at Mount Sinai, University of Toronto Postgraduate Endocrine Training Program.

Arch Intern Med. 1985;145(2):346-347. doi:10.1001/archinte.1985.00360020190032

• A 61-year-old woman had clinical features of acute suppurative thyroiditis that was recurrent and refractory to antibiotic therapy. The diagnosis of acute suppurative thyroiditis was established by a fine-needle aspiration biopsy procedure, yielding suppurative material from which anaerobic and aerobic bacteria grew. Subsequent investigation with a barium swallow study followed by esophagoscopy and biopsy confirmed extensive esophageal carcinoma with a fistulous tract extending into the perithyroidal region.

(Arch Intern Med 1985;145:346-347)