Hüseyin DEMİRCİ, Bilge CEYDİLEK, Fatma KEREN, Nur ARSLAN

Nadir görülen bir olgu: Tiroid kavernöz hemanjiomu

Hemanjiomlar birçok organda görülebilen iyi huylu tümoral oluşumlardır. Tiroid dokusunda nadir görülmekle beraber, sıklıkla ince iğne aspirasyon biyopsisi sonrası oluşurlar. Görüntüleme yöntemleri ile tanısı konulamayan bu olgularda kesin tanı histopatolojik olarak konulur. Burada multinodüler guatr nedeniyle takip edilen ve ince iğne aspirasyon biyopsisi sonrası malignite şüphesi ile total tiroidektomi operasyonu yapılan bir olgu sunulacaktır. Hastaya operasyon sonrası tiroid kavernöz hemanjiomu tanısı konulmuştur. Literatürde malignite şüphesi ile opere edilen ve tiroid kavernöz hemanjiomu tanısı konulan az sayıda olgu bildirilmiştir. Mevcut bilgiler göstermektedir ki; tiroid nodüllerine yaklaşımda maligniteyle ayırıcı tanısı yapılması gereken bir durum da tiroid kavernöz hemanjiomlarıdır.

A rare case report: Cavernous hemangioma of the thyroid

Hemangiomas are benign tumoral formations which can be seen in many organs. Although it is rare at thyroid tissue, often it consists of after thyroid fine-needle biopsy. These cases can not be diagnosed with imaging methods. It s final diagnosis is histopathological. Here, we will present a case report. The patient was followed due to multinodular goitre and had a total thyroidectomy operation with suspicion of malignancy after thyroid fine- needle biopsy. After the operation she was diagnosed to have cavernous hemangioma of the thyroid. In the literature, a few cases which were operated with suspected malignancy have been reported as cavernous hemangioma of the thyroid. The available information shows that; while approaching to thyroid nodules, cavernous hemangioma of the thyroid should be considered and must be made differential diagnosis with malignancy.

PDF

___

1. Kano M, Kameyama K, Hosoda Y, Sugino K, Ito K. A cavernous haemangioma of the thyroid gland. J Laryngol Otol 2005;119: 82830.
2. Kumar R, Gupta R, Khullar S, Dasan B, Malhotra A. Thyroid haemangioma: A case report with a review of the literature. Clin Nucl Med 2000; 25: 769 71.
3. Tsang K, Duggan MA. Vascular proliferation of the thyroid. A complication of fine-needle aspiration. Arch Pathol Lab Med 1992;116:10402.
4. Memis A, Arkun R, Ustun EE, Kandiloglu G. Magnetic resonance imaging of intramuscular haemangiomas with emphasis on contrast enhancement patterns. Clin Radiol 1996;51: 198-204.
5. Enjolras O, Mulliken JB. Vascular tumors and vascular malformations (new issues). Adv Dermatol 1997; 13: 375-423.
6. Powell J. Update on hemangiomas and vascular malformations.Curr Opin Pediatr 1999; 11: 457-63.
7. Polyzos SA, Anastasilakis AD. Clinical complications following thyroid fine- needle biopsy: a systematic review. Clin Endocrinol 2009; 71: 157-65.
8. Roh JL. Intrathyroid hemorrhage and acute upper airway obstruction after fine needle aspiration of the thyroid gland. Laryngoscope 2006; 116: 154-6.
9. Gutzeit A, Stuckmann G, Tosoni I, Erdin D, Binkert CA A cavernous hemangioma of the thyroid gland: First documentation by ultrasound of a rare pathology. J Clin Ultrasound. 2011; 39: 172-4.
10. Michalopoulos NV, Markogiannakis H, Kekis PB, Papadima A, Lagoudianakis E, Manouras A. Primary cavernous hemangioma of the thyroid gland. South Med J. 2010;103: 674-5.
11. Kano M, Kameyama K, Hosoda Y, Sugino K, Ito K. A cavernous haemangioma of the thyroid gland. J Laryngol Otol. 2005; 119: 828-30.
12. Ríos A, Rodríguez JM, Martínez E, Parrilla P Cavernous hemangioma of the thyroid. Thyroid. 2001; 11: 279-80.
13. Kumar R, Gupta R, Khullar S, Dasan B, Malhotra A Thyroid hemangioma: a case report with a review of the literature. Clin Nucl Med. 2000;25: 769-71.