Follicular Carcinoma Arising from the Pyramidal Lobe of the Thyroid

Lymphatic drainage, regional metastases and surgical management of papillary thyroid carcinoma arising in pyramidal lobe – a single institution experience

“…The extent of the surgery of PL PTC can only be discussed based on individual experiences. Ogawa et al [13] in 2009 reported a case of follicular thyroid carcinoma localized in PL, 35mm in diameter, surgically treated with PL and isthmus resection and prelaryngeal lymphadenectomy (no metastases found). In 2012, Kim et al [14] reported what they believed to be the very first case of PTC primarily arising from the PL, 15mm in diameter.…”

“…Data on isolated, single focus of primary thyroid carcinoma originating from PL are rare. There are two reports by different authors [13,14], as well as one prospective five-year study by Skilbeck et al [12]. The extent of the surgery of PL PTC can only be discussed based on individual experiences.…”

“…Isthmectomy with resection of PL is justified surgical treatment for PL PTC as well, due to favorable prognosis of this entity and low recurrence rate, according to available literature [8,[12][13][14]. It is, however, mandatory to follow up the patients.…”

“…PTC in PL is almost always a part of multifocal disease of the thyroid gland [5,11], rather than isolated single focus PTC [4,[12][13][14]. Surgical treatment for this disease remains controversial, especially the extent of neck dissection.…”

Hot nodule in pyramidal lobe of Thyroid gland: a case report

“…The occurrence of pyramidal lobe shows some gender predominance though little data is available. Some articles suggest that it is more prevalent among females, while according to some authors it is more often detected among males [10,11].…”