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A rare case of primary thyroid amyloidosis

M A Cannizzaro¹, S Lo Bianco², W Saliba¹

¹Department of Medical and Surgical Sciences and Advanced Technologies, G.F. Ingrassia, Catania, Italy.

International Journal of Surgery Case Reports

|November 9, 2018

Abstract

Introduction:

Amyloid goiter is due to the deposition of amyloid in the thyroid, resulting with enlargement of the gland and compressive symptoms.

Case:

We herein present a case of a 45-year-old male patient who complained of a big swelling in the neck. Ultrasound showed an enlarged thyroid gland with mediastinal involvement. The multinodular appearance was consistent with the diagnosis of multinodular goiter. He had a history of multiple myeloma but no sign of systemic amyloidosis.

Discussion:

Thyroid gland was removed and the histopathological examination revealed a diffuse deposition of amyloid associated with metaplastic lipomatosis of the stroma.

Conclusions:

The treatment of choice in patients with amyloid goiter is total thyroidectomy to solve compression symptoms.

Keywords:

Amyloidosis Goiter Primary amyloidosis Thyroid Thyroid disease

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Keywords:

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