Abstract :
The thyroid gland is composed of two lobes connected by an isthmus that traverses the midline of the upper trachea between the second and third tracheal rings. The most common manifestation of dysgenesis of the thyroid gland is hemi agenesis or ectopic thyroid gland tissue. Specifically, the incidence rate of agenesis of the thyroid isthmus ranges between 0.5 and 10%. Remember that the identification of agenesis of the isthmus and other thyroid anomalies during preoperative evaluation of patients scheduled for thyroid surgery would significantly contribute to safer surgical procedures and fewer complications. We present a patient with an enlarged right thyroid nodule on USG who was scheduled for a right hemithyroidectomy but was ultimately diagnosed intraoperatively with thyroid isthmus agenesis.
Keywords :
Agenesis, Dysgenesis, Thyroid Gland.References :
- Ozkan OF, Asık M, Toman H, Ozkul F, Cıkman O, Karaayvaz M. Agenesis of isthmus of the thyroid gland in a patient with graves based own disease and a solitary nodule. Case Rep Surg. 2013; 2013: 608481. doi: 10.1155/2013/608481
- Mani IP, Raju N. Agenesis of the Thyroid Isthmus: A Case Report. Otolaryngology – Open Journal [Internet]. 2020 Dec 31;6(1):5–7. Available from: https://openventio.org/wp-content/uploads/Agenesis-of-the-Thyroid-Isthmus-A-Case-Report-OTLOJ-6-160.pdf
- Vayisoglu Y, Ozcan C, Gen R, Eti CM, Sut H, Gorur K. Thyroid isthmus agenesis associated with thyroid papillary carcinoma. J Craniofac Surg. 2013; 24: e428-429. doi: 10.1097/ SCS.0b013e3182942d5
- Kesici U, Kesici S. Agenesis of the isthmus of the thyroid gland. Turk J Surg 2018; 34: 60-61 (crossref)
- Dixit D, Shilpa MB, Harsh MP, Ravishankar MV. Agenesis of isthmus of thyroid gland in adult human cadavers: a case series. Cases J 2009; 2: 6640. [CrossRef]
- Vayisoglu Y, Ozcan C, Gen R, Eti CM, Sut H, Gorur K. Thyroid isthmus agenesis associated with thyroid papillary carcinoma. J Craniofac Surg 2013; 24: e428-429. [CrossRef]