ETA2024 Poster Presentations Miscellaneous (6 abstracts)
1University of Sfax, Sfax Medical School, Lr23es01 Laboratory, Tunisia, Department of Otorhinolaryngology Head and Neck Surgery, Habib Bourguiba Hospital, Sfax, Tunisia, Tunisia; 2Sfax Medical School, Department of Otorhinolaryngology, Habib Bourguiba University Hospital, Sfax, Tunisia; 3University of Sfax, Sfax Medical School, Lr23es01 Laboratory, Tunisia, Department of Anesthesiology, Habib Bourguiba Hospital, Sfax, Tunisia, Tunisia
Objectives: We aim to describe the epidemiological, clinical and histopathological features of thyroid gland lipomas and lipomathosis.
Materials and methods: In this study, we report 7 cases of thyrolipoma a and thyrolipomatosis managed in our department during a 9-year-old period.
Results: Our study involved 4 males and 3 females. Their median age was 58 years old [58-62]. One of them had a medical history of Graves disease all patients presented with an inferior and anterior neck swelling that had been evolving for a mean period of 2.3 years. All patients did not present neither a dysphonia, nor a dyspnea or dysphagia. At their clinical examination, we recorded a mass located that thyroid gland region in 6 patients with a median size of 4 cm [2.5-5]. We rather noted a diffuse goiter in 1 patients. Ultrasound revealed a multi-nodular goiter in 5 patients and an isolated thyroid gland nodule in 2 patients. Based the EU-TIRADS score, the most pejorative nodules were classified as IV in 5 patients and V in 2 patients. We performed either a total of an hemi thyroidectomy in five and two patients respectively. Histopathological examination confirmed a thyrolipomatosis in three patients and thyrolipoma in four patients. Post-operatively, we noted a dysphonia and a hypocalcemia in one patient each. No recurrence was observed in all patients after a mean follow-up period of three years.
Conclusion : Thyrolipoma and thyrolipomatosis are an exceptional and only few cases were described in the literature. Their management is surgical and the diagnosis confirmation is based on histopathological examination.