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Arch Otolaryngol Head Neck Surg. 2005;131:463.

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Diagnosis: Primary solitary hemangioma of the thyroid gland

The literature reports a large number of vascular alterations, both benign and malignant, in the thyroid gland. Primary hemangioma is a benign vascular malformation that infrequently affects the thyroid. Five cases have previously been reported.^1-4 Involvement of the thyroid in multiple hemangiomas of the body has also been reported. With the introduction and routine use of fine-needle aspiration as a diagnostic procedure, there has been an increase in vascular acquired pseudomalformations of the thyroid,^5-6 which result from a vascular proliferation in an organized hematoma caused at the time of the test.

Thyroid hemangiomas usually present clinically as an asymptomatic cervical tumor. Occasionally, they grow quickly, especially if intratumoral bleeding occurs, which may cause compressive symptoms. They are usually managed like any other thyroid nodule. Fine-needle aspiration cytology is often of no value because it is difficult to differentiate a vascular malformation from a traumatic puncture, as in the present case. . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2005;131(5):461.
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