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Year :2018
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Month :
April
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Volume :
7
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Issue :
2
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Page :
SC04 - SC06
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Thyroid Schwannoma Masquerading as a Neoplastic Lesion in an Adolescent Female- A Rare Case Report
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Correspondence Address :
Leong Qi Wen, Khoo Kah Seng, Nording Hasnizal, Lim Chen Hong,
Dr. Khoo Kah Seng,
Medical Officer, Department of General Surgery
Hospital Segamat, KM6, Jalan Genuang-85000,
Segamat, Johor, Malaysia
E-mail: kahseng901209@gmail.com
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Introduction: Primary schwannoma occuring in the thyroid gland is extremely rare. It appeared to be less than 1% of mesenchymal neoplasm of thyroid gland. Till date, there have been only 21 cases of primary schwannoma of thyroid gland reported in literature and only 1 case falls in the adolescent group. Majority of the cases were reported in the elderly age group. This report presents a rare case of schwannoma involving the right thyroid in a 16-year old adolescent female. She presented with a firm right neck mass, which moves with deglutition. Thyroid ultrasound revealed a single solitary right thyroid nodule. An ultrasound guided trucut biopsy of the nodule had aroused suspicion for thyroid neoplastic lesion. Right hemithyroidectomy was undertaken without complications. The final histopathological examination supported the diagnosis of schwannoma, which represent by the presence of Antoni A and Antoni B areas. Despite its rarity, a thorough review of earlier reported cases was done. Existing knowledge of this entity was summarised in this report, emphasising the interdisciplinary challenge in diagnosing it pre-operatively with sparing of unnecessary massive surgeries.
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