Case Report

Primary Cavernous Hemangioma of the Thyroid Gland

Authors: Nikolaos V. Michalopoulos, PhD, Haridimos Markogiannakis, MD, Panagiotis B. Kekis, PhD, Artemisia Papadima, MD, Emmanuel Lagoudianakis, MD, Andreas Manouras, PhD

Abstract

A 78-year-old euthyroid patient presented for evaluation of a symptomatic, slowly growing neck mass. Ultrasound scan revealed a multinodular goiter and a hypoechoic nodule of the right thyroid lobe. Total thyroidectomy was performed and the lesion was completely excised. Definite diagnosis was obtained after histological examination of the surgical specimen. Cavernous hemangiomas of the thyroid gland are infrequent lesions which may escape diagnosis preoperatively. An effort should be made not to rupture these lesions in order to ensure a bloodless procedure.


Key Points


* Cavernous hemangiomas of the thyroid gland are uncommon lesions which may escape diagnosis preoperatively.


* It is difficult to differentiate cavernous hemangiomas of the thyroid gland from other typical thyroid diseases due to the similar pattern they exhibit on ultrasound.


* An effort should be made to dissect the thyroid gland without rupture of these lesions in order to ensure a bloodless procedure.

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