Signet-ring cell change in thyroid adenoma is rarely reported [1–3]. We have recently seen such a tumour in a case of rheumatoid arthritis (RA) treated by methotrexate. Thyroid tumours are rarely reported in RA patients to our knowledge, mainly of carcinoma-type [4, 5]. The thyroid resection was performed for recent increase in size of a left thyroid nodule. At macroscopy, the nodule measured 1...