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[Bilobar Thyroid Agenesis].

K Attipou1, N Cheynel, K Aubry

  • 1Service de Chirurgie Viscérale et Transplantations, C.H.U. Dupuytren, 2, Avenue Martin Luther-King, 87042 Limoges.

Annales D'Endocrinologie
|January 10, 2001
PubMed
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This case report details a rare thyroid anomaly in a 27-year-old female with bilateral thyroid agenesis and a benign adenoma. The findings highlight similarities to hemiagenesis, offering insights into congenital thyroid variations.

Area of Science:

  • Endocrinology
  • Medical Genetics
  • Surgical Pathology

Background:

  • Congenital anomalies of the thyroid gland are rare, with hemiagenesis being a recognized condition.
  • Thyroid agenesis, the complete absence of the thyroid gland, is exceptionally uncommon.

Observation:

  • A 27-year-old female presented with a history of a cystic nodule, presumed to be from the left thyroid lobe.
  • Imaging studies (scintigraphy and echography) suggested the absence of the right thyroid lobe.
  • Surgical exploration (cervicotomy) revealed hypoplasia of both thyroid lobes.

Findings:

  • The patient exhibited bilateral thyroid agenesis, a condition characterized by the complete absence of both thyroid lobes.
  • A benign euthyroid adenoma was identified in the thyroid isthmus and pyramidal lobe.

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  • The clinical presentation and imaging findings were noted to resemble hemiagenesis, a partial absence of the thyroid.

    • Implications:

    • This case underscores the importance of comprehensive evaluation for rare congenital thyroid anomalies.
    • Understanding such anomalies contributes to the differential diagnosis of neck masses and thyroid dysfunction.
    • The findings may refine the understanding of developmental pathways related to thyroid gland formation and potential variations.