Thyroid hemangioma

Abstract

A case is presented of a fifty-six year old man with a thyroid hemangioma presenting as a neck mass with tracheal deviation and unilateral vocal cord paralysis. A standard thyroid scan yielded equivocal findings. The diagnosis was determined preoperatively by the use of a 99m-technetium angiogram that disclosed the vascular nature of the lesion. Subsequent arteriography demonstrated the main arterial supply of the mass to be from both inferior thyroid arteries. Operative removal of the mass was accomplished through a standard transverse cervical incision. Pathologic study revealed that the vascular tumor involved both the surrounding normal thyroid parenchyma and also a microfollicular adenoma. This case points out the value of utilizing all available diagnostic means in atypical cases of thyroid disease.

Airway Obstruction as the Primary Manifestation of Infantile Thyroid Hemangioma: A Case Report and Literature Review

“…because hemangiomas are prone to hemorrhaging during operation; around 2000 ml of blood loss is reported in adults (10).Thus, it is important to maintain the integrity of the capsule, which can signi cantly reduce the risk of hemorrhaging and avoid a residual relapse. In our case, the nature of the mass was unclear before the operation, and its blood supply was rich.…”

A primary cavernous hemangioma of the thyroid gland

“…[ 8 ] Hemangioma rarely occurs in the thyroid gland, and only 23 cases have been reported until 2005 [ 9 ] (Table 1 ). In 1975, Pickleman et al [ 10 ] were the first to report a case with thyroid hemangioma in the left lobe of thyroid gland (size 7.5 × 3.0 × 2.0 cm). Maciel et al [ 11 ] described a case with large thyroid hemangioma (size 22 × 21 × 17 cm, weight 2800 g), which was the largest one up to date.…”

“…[ 15 ] A lesion with larger size and the hemorrhage during the operation should not be overlooked by the surgeon, and over 2 L of blood loss had been reported in surgery. [ 10 ] Thus, sufficient preoperative preparation is very crucial to have a good prognosis.…”

A cavernous hemangioma of the thyroid gland: First documentation by ultrasound of a rare pathology

“…Thyroid hemangioma is extremely rare and there are only a few case reports in the literature 2–7. In 1975, Pickleman et al reported in the first case, the diagnosis of which was made using 99mTc angiography 8. As described in the literature, hemangiomas can harbor calcifications or phleboliths 6.…”