ECE2009 Poster Presentations Thyroid (117 abstracts)
Primary cavernous hemangioma of the thyroid gland
Nikolaos Michalopoulos , Artemisia Papadima , Emmanuel Lagoudianakis , Sotirios-Georgios Panoussopoulos , Levon Toufektzian , Leonidas Alevizos , Haridimos Markogiannakis & Andreas Manouras
Department of Endocrine Surgery, First Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece.
Background: Hemangiomas of the thyroid gland are extremely rare.
Case presentation: We report a case of a 78-year-old euthyroid male patient with a primary cavernous hemangioma of the thyroid gland. The patient presented for evaluation of a symptomatic, slowly growing neck mass. He did not have any previous medical history and, moreover, had no history of trauma, FNA or other neck procedures. Ultrasound scan revealed a multinodular goiter and a hypoechoic nodule of the right thyroid lobe. Total thyroidectomy was performed and the lesion was completely excised. Definite diagnosis was feasible after the histological examination of the surgical specimen.
Conclusions: Cavernous hemangiomas of the thyroid gland are infrequent lesions which may escape diagnosis preoperatively, either due to the complicacy of the examinations needed to differentiate them from other typical thyroid diseases or due to the similar pattern they show in common examinations performed such as the ultrasound scan. An effort should be made to dissect free the thyroid gland without rupture of these lesions in order to ensure a bloodless procedure.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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