Missed thyroid gland after total thyroidectomy
Sangar M.faroq Abdulrahman, Serkan Teksöz, Sina Ferahman, Süleyman Demiryas, Yusuf Bükey, Ateş Özyiğin
Department of General Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey
Abstract
Missed gland is an extremely rare condition. It is a mediastinal thyroid mass found after total thyroidectomy. We report a case of missed gland. The patient underwent total thyroidectomy due to multinodular goiter and thyroid stimulating hormone levels did not increase after surgery. Pathological tests revealed a micropapillary carcinoma. Thyroid ultrasonography and scintigraphy scan revealed mediastinal thyroid mass. The patient underwent redo surgery without sternotomy and there was no morbidity after the second surgical procedure. Most missed thyroid gland cases are due to incomplete removal of plunging thyroid goiter during total thyroidectomy. They also can be attributed to a concomitant, unrecognized mediastinal goiter, which is not connected to the thyroid gland with vessels or a thin fibrous band. It should be noted that absence of signs like mediastinal mass or tracheal deviation in preoperative chest X-ray does not exclude substernal goiter. The presence of a missed thyroid gland should be kept in mind when postoperative thyroid stimulating hormone levels remain unchanged.
Cite this paper as: Abdulrahman SM, Teksöz S, Ferahman S, Demiryas S, Bükey Y, Özyiğin A. Missed thyroid gland after total thyroidectomy. Turk J Surg 2018; 34: 137-139.
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
: Concept - S.M.A.; Design -S.F.; Supervision - S.T.; Resource - S.M.A.; Materials - S.M.A.; Data Collection and/or Processing -S.F.; Analysis and/or Interpretation -S.T.; Literature Search - S.D.; Writing Manuscript - S.M.A.; Critical Reviews - Y.B.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.