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Related Experiment Videos

Accessory thyroid nodule in sub-mandibular region.

Mukhtar Mehboob1, Khan Mohammad Babar, Jamil Ahmad Khan

  • 1Department of General Surgery, Makkah Al-Mukarramah Hospital, Quetta, Pakistan. mehboob87300@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 27, 2005
PubMed
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A rare case of an accessory thyroid nodule diagnosed with focal lymphocytic thyroiditis is presented. This finding in a young woman highlights the importance of thorough histopathological examination for accurate diagnosis.

Area of Science:

  • Endocrinology
  • Pathology

Background:

  • Accessory thyroid tissue can present as ectopic nodules, posing diagnostic challenges.
  • Focal lymphocytic thyroiditis, an autoimmune condition, can affect both normal and ectopic thyroid tissue.

Observation:

  • A 23-year-old female presented with a solitary submandibular swelling.
  • Histopathological examination of the resected nodule revealed focal lymphocytic thyroiditis.
  • Postoperative imaging confirmed the normal anatomical location of the main thyroid gland.

Findings:

  • The accessory thyroid nodule was definitively diagnosed as focal lymphocytic thyroiditis.
  • The main thyroid gland exhibited suppressed activity on thyroid scan.
  • Subclinical hypothyroidism was detected in the patient's thyroid profile.

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Implications:

  • This case underscores the need for considering ectopic thyroid tissue in the differential diagnosis of neck masses.
  • Accurate histopathological analysis is crucial for diagnosing thyroiditis in accessory nodules.
  • Management of subclinical hypothyroidism may be necessary in patients with accessory thyroid tissue and autoimmune thyroid disease.