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Thyroid Cartilage Hemangioma: Presentation, Imaging, Pathology, and Approach to Resection and Reconstruction
Wilson Fitzgerald1, Emma Thayer1, Robert A Robinson2
1Department of Otolaryngology-Head and Neck Surgery, University of Iowa, IA, USA.
The Annals of Otology, Rhinology, and Laryngology
|December 31, 2025
Summary
Thyroid cartilage hemangiomas are rare tumors. This case report details a successful surgical resection and reconstruction for a large hemangioma of the thyroid cartilage, highlighting diagnostic challenges.
Area of Science:
- Otolaryngology
- Surgical Pathology
- Medical Imaging
Background:
- Thyroid cartilage hemangiomas are exceptionally rare benign vascular tumors.
- This report details a case initially suspected as chondrosarcoma but confirmed as hemangioma.
Purpose of the Study:
- To present a rare case of thyroid cartilage hemangioma.
- To review diagnostic and surgical management strategies for such rare tumors.
Main Methods:
- A 46-year-old male with neck fullness underwent evaluation for a thyroid ala mass.
- Surgical resection with rib graft and titanium plate reconstruction was performed.
- Histopathology confirmed hemangioma, despite initial suspicion of malignancy.
Main Results:
- The patient presented with progressive neck fullness and voice changes.
- Surgical intervention involved resection and reconstruction of the thyroid ala.
- Final pathology revealed a hemangioma, not a chondrosarcoma.
Conclusions:
- Thyroid cartilage hemangiomas present diagnostic challenges due to their rarity and location.
- Surgical excision and reconstruction with grafts are viable options for large tumors.
- This is one of the first reported cases of hemangioma within the thyroid cartilage.
