Clinical Medicine: Ear, Nose and Throat
Synopsis: An open access, peer reviewed electronic journal that covers diagnosis, management and prevention of ear, nose and throat disorders.
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Hemangioma of the Thyroid
Akihiro Sakai1, Iwao Sugitani2, Noriko Yamamoto3 and Kazuyoshi Kawabata2
1Department of Otolaryngology, Tokai University, School of Medicine, Isehara 259-1193, Japan. 2Division of Head and Neck, Cancer Institute Hospital, Tokyo 135-8550, Japan. 3Department of Pathology, Cancer Institute, Tokyo 135-8550, Japan.
Abstract
Introduction: Thyroid hemangioma is very rare, and only a few cases have previously been reported. We encountered a patient with thyroid hemangioma diagnosed after surgery.
Case Report: A 71‑year‑old woman visited our hospital with a mass in the left thyroid region. A 5‑cm, elastic mass of the thyroid was palpable in the left anterior neck. On cytology by fine‑needle aspiration (FNA), the specimen mainly contained blood components without apparent atypical cells. A tumor with abundant blood flow was suspected based on Doppler ultrasonography. Adenomatous goiter was suspected, and subtotal thyroidectomy was performed. A blood clot was present in the tumor, and hemangioma was diagnosed on postoperative histopathological examination.
Discussion: Preoperative diagnosis of thyroid hemangioma is difficult. However, Doppler ultrasonography and FNA are useful for diagnosis. A differential diagnosis of hemangioma should be considered when blood flow is abundant and only blood components are collected.
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