Symmetric Diffuse Lipomatosis
of the Thyroid Gland
867-868
Correspondence
Dr. Vijay D. Dombale
B-2 staff quarters
SN Medical College Bagalkot - 587101, Karnataka.
Phone: 09480598017; E-mail: drvijay@gmail.com
Diffuse lipomatosis is a benign lesion of the thyroid gland with very few cases being documented in the literature. We present a case of a 62 yr old male who presented with a midline neck swelling of 6 months duration and respiratory stridor since few days. After the clinical examination, a provisional diagnosis of nodular goitre was made and the patient was sent for cytological study. Fine needle aspiration cytology studies reported it as a benign follicular epithelial lesion. A near total thyroidectomy was done and the specimen was sent for histopathological studies. Multiple sections from both the lobes revealed the diffuse infiltration of the adipose tissue into the thyroid stroma. There was no evidence of amyloid deposits. Other causes of the fat deposits were ruled out. The case was reported as diffuse lipomatosis of the thyroid, a rare finding with only few cases being reported in the literature.