Document Detail

Diffuse lipomatosis of the thyroid gland: a pathologic curiosity.
MedLine Citation:
PMID:  19332917     Owner:  NLM     Status:  MEDLINE    
We report the case of a 45-year-old man who presented with a 4-year history of midline neck swelling associated with recent onset respiratory distress. Local examination showed a lobulated diffuse thyroid enlargement. A subtotal thyroidectomy was performed. The right lobe weighed 225 g and the left lobe weighed 130 g. Multiple sections from both the lobes revealed diffuse infiltration of the stroma by mature adipose tissue. There was no evidence of amyloid deposits or papillary carcinoma. A final diagnosis of diffuse lipomatosis of the thyroid gland was rendered. Lipomatosis or adenolipomatosis of the thyroid gland is an extremely rare entity. The various differential diagnoses of fat in the thyroid include benign entities like amyloid goiter, adenolipoma, lymphocytic thyroiditis, intrathyroid thymic or parathyroid lipoma and malignant tumors like liposarcoma and encapsulated papillary carcinoma. Adequate clinical details and a thorough histopathological examination are mandatory for diagnosis.
Ruchika Gupta; Raman Arora; Alok Sharma; Amit Kumar Dinda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Indian journal of pathology & microbiology     Volume:  52     ISSN:  0974-5130     ISO Abbreviation:  Indian J Pathol Microbiol     Publication Date:    2009 Apr-Jun
Date Detail:
Created Date:  2009-03-31     Completed Date:  2009-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605904     Medline TA:  Indian J Pathol Microbiol     Country:  India    
Other Details:
Languages:  eng     Pagination:  215-6     Citation Subset:  IM    
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Diagnosis, Differential
Lipomatosis / diagnosis*,  pathology
Middle Aged
Thyroid Gland / pathology*,  surgery

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