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Related Experiment Videos

Accessory thyroid tissue in the right ventricle.

E Doria1, P Agostoni, C Fiorentini

  • 1Istituto di Cardiologia dell' Università degli Studi, Milan, Italy.

Chest
|August 1, 1989
PubMed
Summary
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Ectopic thyroid tissue in the heart is rare but can mimic cardiac tumors. A thyroid scintiscan can help differentiate this condition, potentially avoiding unnecessary surgery.

Area of Science:

  • Cardiology
  • Endocrinology
  • Pathology

Background:

  • Cardiac masses require accurate diagnosis to guide treatment.
  • Right ventricular outflow tract (RVOT) masses can present diagnostic challenges.

Observation:

  • An asymptomatic 66-year-old woman presented with a systolic murmur and a voluminous RVOT mass on echocardiography, initially suspected to be a cardiac tumor.
  • Histological examination revealed the mass to be ectopic thyroid tissue.

Findings:

  • Ectopic thyroid tissue in the heart is an uncommon finding.
  • This aberrant tissue can present as a cardiac mass, particularly in the interventricular septum encroaching on the RVOT.

Implications:

  • Ectopic thyroid tissue should be considered in the differential diagnosis of cardiac masses in the RVOT.

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  • Thyroid scintiscanning is a valuable non-invasive tool to identify ectopic thyroid tissue, potentially preventing unnecessary surgical intervention.