Hashimoto Thyroiditis Presenting as Long-Standing Neck Swelling: A Case Report With Review of Literature

Background
Hashimoto thyroiditis is an autoimmune disorder characterized by gradual destruction of thyroid follicular cells,leading to progressive hypothyroidism. It is the most common cause of thyroid dysfunction in iodine- sufficient regions and shows marked female predominance. Surgical evaluation is required when malignancy cannot be excluded.
Case Report
A 35 year old female presented with a slowly progressive swelling on right anterior neck for 8 years. She was a known case of hypothyroidism and was on medication. Histopathological examination on total thyroidectomy specimenconfirmed Hashimoto thyroiditis.
Conclusion
Hashimotothyroiditis presents in young individuals with long-standing goiters that can mimic neoplastic lesions.Surgical intervention is required in cases with compressive symptoms.Early recognition and appropriate evaluation are essential for accurate diagnosis and effective management.

Hashimoto thyroiditis, Hypothyroid, Long standing neck swelling.

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