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Double Pyramidal Lobe of the Thyroid Gland a Rare Variation: Case Report

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Abstract

Knowledge of the variations of the pyramidal lobe of the thyroid is important for surgeons to perform complete resection of the functional thyroid tissue. Complete excision of the thyroid tissue surgery reduces the chances of recurrence in both the benign and the malignant diseases. It is important to remove all functioning thyroid tissue especially in the differentiated thyroid cancer so the postoperative radioiodine ablation is more effective and serum thyroglobulin acts as an efficient marker. We report a case of the double pyramidal lobe of thyroid gland in a woman of age 63 years with follicular thyroid cancer. Our literature search revealed only three documented cases of the double pyramidal lobe. Knowledge and recognition of such a rare variation is essential to perform safe and effective thyroid surgery.

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References

  1. Filho VJ, Moyses RA, Moyses NA, Ferraz AR (2004) Pyramidal lobe of the thyroid: intraoperative anatomic study. Rev Bras Cir 33:35–37

    Google Scholar 

  2. Braun EM, Windisch G, Wolf G, Hausleitner L, Anderhuber F (2007) The pyramidal lobe: clinical anatomy and its importance in thyroid surgery. Surg Radiol Anat 29:21–27

    Article  PubMed  Google Scholar 

  3. Geraci G, Pisello F, Li Volsi F, Modica G, Sciume C et al (2008) The importance of pyramidal lobe in thyroid surgery. G Chir 29:479–482

    CAS  PubMed  Google Scholar 

  4. Zivic R, Radovanovic D, Vekic B, Markovic I, Dzodic R et al (2011) Surgical anatomy of the pyramidal lobe and its significance in thyroid surgery. S Afr J Surg 49:110–112

    CAS  PubMed  Google Scholar 

  5. Ignjatovic M (2009) Double pyramidal thyroid lobe. J Postgrad Med 55:41–42

    Article  CAS  PubMed  Google Scholar 

  6. Hakeem AH, Hakeem IH, Wani FJ (2016) Double pyramidal lobe of thyroid gland: a rare presentation. Thyroid Res Pract 13:25–26

    Article  Google Scholar 

  7. Ioannis K, Zarokosta M, Flessas I et al (2017) Surgical anatomy of double pyramidal lobe on total thyroidectomy: a rare case report. J Surg Case Rep 3:1–3

    Article  Google Scholar 

  8. Ozgur Z, Celik S, Govsa F, Ozgur T (2011) Anatomical and surgical aspects of the lobes of the thyroid glands. Eur Arch Otorhinolaryngol 268:1357–1363

    Article  PubMed  Google Scholar 

  9. Tanriover O, Comunoglu N, Eren B, Comunoglu C, Turkmen N, Bilgen S, Kaspar EC, Gündogmus UN (2011) Morphometric features of the thyroid gland: a cadaveric study of Turkish people. Folia Morphol (Warsz) 70:103–108

    CAS  Google Scholar 

  10. Gurleyik E, Dogan S (2014) Accuracy of unstimulated basal serum thyroglobulin levels in assessing the completeness of thyroidectomy. J Clin Med Res 6:369–373

    PubMed  PubMed Central  Google Scholar 

  11. Zeuren R, Biagini A, Grewal RK, Randolp GW, Kamani D, Sabra MM, Shaha AR, Tuttle RM (2015) RAI thyroid bed uptake after total thyroidectomy: a novel SPECT-CT anatomic classification system. Laryngoscope 125:2417–2424

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Sawicka-Gutaj N, Klimowicz A, Sowinski J, Oleksa R, Gryczynska M, Wyszomirska A, Czarnywojtek A, Ruchala M (2014) Pyramidal lobe decreases endogenous TSH stimulation without impact on radio-iodine therapy outcome in patients with differentiated thyroid cancer. Ann Endocrinol 75:141–147

    Article  Google Scholar 

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Authors and Affiliations

  1. Consultant Surgical Oncology (Head and Neck), Apollo Cancer Hospitals, Jubilee Hills, Hyderabad, 500096, India

    Arsheed Hussain Hakeem

  2. Department of Nephrology, Metroplex Hospital, Killeen, TX, USA

    Imtiyaz Hussain Hakeem

  3. Department of Internal Medicine, Government Medical College, Srinagar, J&K, India

    Hassaan Javaid

  4. Department of Gynqaecology and Obstetrics, Apollo Hospitals, Hyderabad, 500096, India

    Fozia Jeelani Wani

Authors
  1. Arsheed Hussain Hakeem
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  2. Imtiyaz Hussain Hakeem
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  3. Hassaan Javaid
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  4. Fozia Jeelani Wani
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Contributions

AHH wrote the draft of the article. AHH, IHH, HJ, and FJW helped in the final writing of the paper and gave final approval of the article. AHH, IHH, and FJW participated in the article revision.

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Correspondence to Arsheed Hussain Hakeem.

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The authors declare that they have no competing interests.

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The informed consent was obtained from the patient for the publication of this report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Hakeem, A.H., Hakeem, I.H., Javaid, H. et al. Double Pyramidal Lobe of the Thyroid Gland a Rare Variation: Case Report. Indian J Surg Oncol 10, 385–388 (2019). https://doi.org/10.1007/s13193-018-0863-2

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  • DOI: https://doi.org/10.1007/s13193-018-0863-2

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