2091904 Testicular Adrenal Rests in Congenital Adrenal Hyperplasia: Ultrasonographic Appearance and Differential Diagnosis

Tochetto, Sandra; Piña, Rodrigo Serrano; Saito, Osmar; Zavariz, Julia; Chammas, Maria Cristina

doi:10.1016/j.ultrasmedbio.2014.12.640

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“…It may slightly increase in size in early puberty but typically involutes by mid-to-late puberty. Maldescent of thymic tissue during embryogenesis may lead to remnant tissue left along the path of descent, resulting in ectopic thymic tissue (Figure 3) [2]. While ectopic thymic tissue is more commonly seen in the cervical region, it can rarely be found within the thyroid gland.…”

Section: Discussionmentioning

confidence: 99%

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Intrathyroidal Thymic Tissue in an Adolescent with Graves’ Disease: Case Report and Review of Current Literature

Eng

Underland

Lam

2019

Case Reports in Pediatrics

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Intrathyroidal thymic tissue (ITT) is a benign entity found in children and young adolescents that often mimics a concerning thyroid nodule with microcalcifications on ultrasound. It is challenging for the clinician to distinguish between these two entities, which may lead to unnecessary invasive procedures. We report an adolescent female patient with Graves’ disease who underwent total thyroidectomy for a thyroid nodule concerning for malignancy for which the surgical pathology ultimately revealed ITT. As ITT is rarely found beyond childhood, the concurrent Graves’ disease may have led to persistence of thymic tissue in this patient. Several sonographic features can help in differentiating ITT from a concerning thyroid nodule. Once identified, ITT should be followed by serial imaging with anticipation of decreasing size or complete resolution over time.

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Section: Discussionmentioning

confidence: 99%

“…Path of descent for thymic lobes during embryological development (dotted arrow) and locations of ectopic thymic tissue (green ovals) [2]. …”

Section: Figurementioning

confidence: 99%

Intrathyroidal Thymic Tissue in an Adolescent with Graves’ Disease: Case Report and Review of Current Literature

Eng

Underland

Lam

2019

Case Reports in Pediatrics

View full text Add to dashboard Cite

show abstract

2091904 Testicular Adrenal Rests in Congenital Adrenal Hyperplasia: Ultrasonographic Appearance and Differential Diagnosis

Cited by 1 publication

References 0 publications

Intrathyroidal Thymic Tissue in an Adolescent with Graves’ Disease: Case Report and Review of Current Literature

Intrathyroidal Thymic Tissue in an Adolescent with Graves’ Disease: Case Report and Review of Current Literature

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