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ORIGINAL ARTICLE
Year : 2008  |  Volume : 5  |  Issue : 3  |  Page : 78-82

Unusual thyroid lesions: A clinicopathological exercise


1 Department of Endocrinology and Metabolism, Medwin Hospitals, Chirag AM Lane, Nampally, Hyderabad - 500001, India
2 Surgical Endocrinology, Medwin Hospitals, Chirag AM Lane, Nampally, Hyderabad - 500001, India
3 Department of Pathology, Medwin Hospitals, Chirag AM Lane, Nampally, Hyderabad - 500001, India

Correspondence Address:
K D Modi
Department of Endocrinology and Metabolism, Medwin Hospitals, Chirag AM Lane, Nampally, Hyderabad - 500001
India
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Source of Support: None, Conflict of Interest: None


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Thyroid disorders are a common platform where endocrinology, surgery and pathology departments need frequent interaction. We report four challenging thyroid cases that were diagnosed post operatively after histopathological examination are quite uncommon and challenging for a clinician involved in thyroid practice. Our first case is a patient for whom functioning papillary thyroid carcinoma was diagnosed, had multinodular goiter and features of hyperthyroidism with histopathological changes of papillary thyroid carcinoma and rest of the gland was normal. Another case of large goiter with obstructive symptoms with anasarca and proteinuria underwent emergency surgery and was diagnosed as amyloidosis of thyroid on basis of gross appearance and histopathological changes. Solitary fibrous tumor and lymphangioma of thyroid gland were two other rare cases that were diagnosed after diligent histopathological work-up. Pathologists experienced in thyroid diseases can be of great help in managing unusual thyroid lesions. These are rare conditions and they posed a management challenge till final diagnosis was achieved. Pathologists with awareness about such entities, in close interaction with the treating physician and surgeon, can contribute a lot in diagnosing such unusual conditions.


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