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Int J Surg Case Rep. 2017;40:94-96. doi: 10.1016/j.ijscr.2017.09.008. Epub 2017 Sep 14.

Follicular adenoma in ectopic thyroid. A case-report.

Author information

1
Università degli Studi di Salerno, Italy; Collaborator of Clinique du Parc Montpellier, France. Electronic address: vincenzoconsa@hotmail.it.
2
Università degli Studi di Salerno, Italy. Electronic address: barbieri.dina@gmail.com.
3
Università degli Studi di Salerno, Italy. Electronic address: amaliarosariarita.rossetti@gmail.com.
4
Università degli Studi di Salerno, Italy. Electronic address: mafalda_romano@hotmail.it.
5
Università degli Studi di Salerno, Italy. Electronic address: rosycontieri@hotmail.it.
6
Università degli Studi di Salerno, Italy. Electronic address: salvytra@libero.it.
7
Università degli Studi di Salerno, Italy. Electronic address: rescignocarmela@libero.it.
8
Università degli Studi di Salerno, Italy. Electronic address: massimo.infranzi@sangiovannieruggi.it.
9
Hospital of Cava de' Tirreni, Università degli studi di Salerno, Italy. Electronic address: dlombardi@unisa.it.

Abstract

INTRODUCTION:

The term ectopic thyroid refers to the presence of thyroid tissue located far from its usual anatomic placement and with no vascular connection to the main gland. The presence of swelling in atypical locations is diagnostically differentiated from other pathologies like pleomorphic adenoma or carcinoma, inflammatory lesions like sialadenitis, neurogenic tumors, paraganglioma, fibrolipoma and lymphadenopaties of diverse etiologies.

PRESENTATION OF CASE:

Here we present the case of a submandibular ectopic thyroid in a 67year old woman. She came to our attention for a left submandibular swelling. The anamnesis did not show related pathologies, as well as blood tests. Diagnostic image studies and a FNAC were performed. The mass was surgically removed and histopatology showed a follicular adenoma in the contest of the capsulated lesion.

DISCUSSION:

It is important to not underestimate these types of lesions and procede with hematochemical, instrumental tests and above all surgery that can eliminate any diagnostic uncertainty and on the whole be therapeutic.

CONCLUSION:

It should not be forgotten that ectopic thyroid tissue can be a site for adenoma or papillary carcinoma and thus any watch and wait strategy should be avoided.

KEYWORDS:

Aberrant thyroid surgery; Ectopic thyroid adenoma; Ectopic thyroid management

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