Amyloid goiter with diffuse lipomatosis

Abstract

We report a case of a 37-year-old man who presented with a neck swelling associated with recent onset respiratory distress. The patient was receiving hemodialysis due to chronic renal failure three times a week for 8 years. Local examination showed a diffuse thyroid enlargement. The thyroid function test results of the patient were within normal limits. At the ultrasonography examination, there was a 17 x 11 mm nodule at the isthmus with a hypoechoic halo containing calcified foci. The fine needle aspiration biopsy (FNAB) of the nodule at the isthmus that contained calcification revealed adenomatous nodule rich in cells, which showed degeneration and follicular neoplasia. Total thyroidectomy was planned due to the patient's ongoing symptoms and dyspnea. The pathological examination revealed diffuse lipomatosis and amyloidosis. © Jaypee Brothers Medical Publishers (P) Ltd.