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Ectopic thyroid in the adrenal gland

T Shiraishi1, H Imai, K Fukutome

  • 1Department of Pathology, Mie University School of Medicine, Edo bashi, Tsu, Japan.

Human Pathology
|January 29, 1999
PubMed
Summary
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Two cases of ectopic thyroid tissue in the adrenal gland were identified via imaging. These benign lesions require differentiation from metastatic cancer in clinical practice.

Area of Science:

  • Endocrinology
  • Pathology
  • Radiology

Background:

  • Ectopic thyroid tissue can occur in various locations, presenting diagnostic challenges.
  • Intraadrenal thyroid tissue is a rare finding, necessitating accurate identification.

Observation:

  • Two patients presented with incidentally discovered intraadrenal lesions on computed tomography (CT) and ultrasound.
  • Histological examination revealed mature thyroid follicles, confirmed by thyroglobulin staining.
  • No evidence of malignancy or teratomatous components was found in either case.

Findings:

  • The intraadrenal lesions were histologically confirmed as benign ectopic thyroid tissue.
  • Imaging and clinical evaluations excluded primary or metastatic thyroid tumors.
  • The embryological origin of this ectopic thyroid tissue remains unclear.

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Implications:

  • Accurate differentiation of intraadrenal thyroid tissue from metastatic disease is crucial for patient management.
  • Radiologists and pathologists must be aware of this rare entity.
  • Further research into the etiology of ectopic thyroid tissue is warranted.