North American Journal of Medical Sciences

CASE REPORT
Year
: 2012  |  Volume : 4  |  Issue : 3  |  Page : 151--153

An unusual case of Hashimoto«SQ»s thyroiditis with four lobed thyroid gland


Rayees Ahmad Dar1, Nisar Ahmad Chowdri1, Fazl Qadir Parray1, Sabiya Hamid Wani2 
1 Department of General and Minimal Invasive Surgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
2 Department of General Surgery, Government Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Rayees Ahmad Dar
Rajbagh Extension, Srinagar - 190 008, Jammu and Kashmir
India

Hashimoto«SQ»s thyroiditis (HT), an autoimmune disorder, is the most prevalent cause of subclinical or overt hypothyroidism in areas with sufficient iodine intake. The gland is often diffusely enlarged, and the parenchyma is coarsened, hypoechoic, and often hypervascular on ultrasonograpy. Histopathologic appearance of HT includes lymphocyte aggregates with germinal centers, small thyroid follicles, presence of Hurthle cells, and variable fibrosis. We present a case of a 40-year-old female with suspected follicular neoplasm on fine-needle aspiration cytology of neck swelling. Intraoperatively, thyroid gland was found having four lobes separated from each other. Total thyroidectomy was done and histopathology from all four lobes revealed HT. At present, there is no literature to support the fact that such distorted thyroid anatomy may be due to the underlying disease. If we consider it as thyroid gland anomaly, no such anomaly has been mentioned in the literature till date.


How to cite this article:
Dar RA, Chowdri NA, Parray FQ, Wani SH. An unusual case of Hashimoto's thyroiditis with four lobed thyroid gland.North Am J Med Sci 2012;4:151-153


How to cite this URL:
Dar RA, Chowdri NA, Parray FQ, Wani SH. An unusual case of Hashimoto's thyroiditis with four lobed thyroid gland. North Am J Med Sci [serial online] 2012 [cited 2022 Jun 25 ];4:151-153
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2012;volume=4;issue=3;spage=151;epage=153;aulast=Dar;type=0