Abstract
Rare possibilities like an adenoma or a malignancy may occur in ectopic thyroid tissue. These pathologies can mimic many midline or para-midline neck masses.Such conditions require a good clinical history and examination, apart from a keen eye for suspicion. We report a case of 35 year female presenting with a midline neck lump for 14 months.Elsewhere patient was worked up for suspicion of thyroglossal cyst and a tubercular node. We performed preliminary investigations including Thyroid profile, Fine Needle Aspiration Cytology (FNAC) and ultrasonography(USG) neck followed by Thyroid Sctintigraphy and Magnetic.Resonance Imaging (MRI) neck to confirm an ectopic thyroid and a satisfactory diagnosis of ectopic thyroid tissue undergone adenomatous transformation was made. Surgical neck exploration for removal of adenoma and pyramidal lobe with isthmusectomy was performed. Surgical specimen rendered for histopathology examination(HPE), confirmed the diagnosis. Clinical intuition
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