Hashimoto's thyroiditis
The presence of varying degrees of lymphocytic infiltration around the papillary thyroid cancer (PTK) in DTK is a common occurrence. Pollock and Sprong Hashimoto evaluated thyroiditis as a premalignant lesion and recommended total thyroidectomy. On the other hand, Crile and Hazard considered life-long thyroid hormone replacement as sufficient, suggesting that there was no increased risk. Hirabayashi and Linsay argue that Hashimoto's thyroiditis is not a premalignant lesion and that patients with chronic thyroiditis have a better prognosis. Harach and Willliams determined the prevalence of changing thyroiditis and PTK before and after iodine prophylaxis in an endemic goiter region in Argentina. has not yet been clarified. In our personal series, lymphocytic thyroiditis rate was 14% in patients with DTC. However, this ratio rises to 23% when the treated cases are considered separately after the year 2000 when the iodination program has started. Undoubtedly, the importance given to the subject in pathological groans had an effect on this.
Surgical treatment of a nodule formed or growing on the basis of Hashimoto in the clinic is an accepted approach to this day. Studies suggest that the prognosis of patients with DTK may be better in patients with chronic thyroiditis associated with DTK.