Case Report

Description of a concurrent thyroid haemangioma and a follicular adenoma

Liezel Coetzee, Wilhelmina Conradie, Razaan Davis, Rubina Razack
South African Journal of Radiology | Vol 28, No 1 | a2863 | DOI: https://doi.org/10.4102/sajr.v28i1.2863 | © 2024 Liezel Coetzee, Wilhelmina Conradie, Razaan Davis, Rubina Razack | This work is licensed under CC Attribution 4.0
Submitted: 26 January 2024 | Published: 31 July 2024

About the author(s)

Liezel Coetzee, Division of Anatomical Pathology, Department of Pathology, National Health Laboratory Service, Faculty of Medicine and Health Sciences, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa
Wilhelmina Conradie, Division of General Surgery, Department of Surgery, Faculty of Medicine and Health Sciences, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa
Razaan Davis, Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa
Rubina Razack, Division of Anatomical Pathology, Department of Pathology, National Health Laboratory Service, Faculty of Medicine and Health Sciences, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa

Abstract

Thyroid gland vascular proliferations pose a challenge to pathologists, radiologists and surgeons. This is illustrated in the case of a 36-year-old woman who underwent a diagnostic thyroid lobectomy for a suspected follicular neoplasm according to cytology. Histological diagnosis confirmed a follicular adenoma as well as a cavernous haemangioma or venous malformation.

Contribution: Thyroid vascular lesions are rare. Evolving nomenclature and application of the International Society for the Study of Vascular Anomalies classification are discussed. Pertinent radiological clues are highlighted to pre-empt the diagnosis and avoid potential surgical complications.


Keywords

vascular proliferations; thyroid; ISSVA classification; radiology; pathology.

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