Cavernous Hemangioma of the Thyroid
DOI:
https://doi.org/10.32412/pjohns.v40i2.2417Keywords:
thyroid mass, capillary hemangioma, vascular lesionsAbstract
A total thyroidectomy specimen from a female of unspecified age, clinically diagnosed with colloid goiter from a provincial surgical mission was submitted to our institution. No past medical history or previous imaging was provided. Grossly, the specimen consisted of the right lobe (8x6x5.5 cm), left lobe (4x2.3x1.6 cm), and isthmus (2.2x0.5x0.5 cm), altogether weighing 126.9 grams. (Figure 1) Serial sectioning of the right lobe then revealed an encapsulated mass measuring 7.3x5x4.6 cm. Cut sections of said mass showed heterogeneous surfaces composed of cream tan, to golden yellow, to dark brown, gelatinous and patchy fibrous solid areas. (Figure 2) The mass encompassed the superior to inferior poles.
Microsections of the right lobe mass disclosed haphazardly arranged, large, dilated, thin walled vessels lined by a single layer of flattened, cytologically bland endothelial cells and engorged with blood without lymphatic fluid. Intervening fibrous solid areas did not have
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