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Insular carcinoma arising on a background of follicular carcinoma, thyrolipomatosis and amyloid goitre
  1. Tze Ling Loh,
  2. Sergios Latis,
  3. Rohana Bibi Ali,
  4. Hemi Patel
  1. Otolaryngology, Head and Neck Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia
  1. Correspondence to Dr Tze Ling Loh, bft_general{at}


A 67-year-old man was referred with a history of a right-sided neck lump and dysphonia, secondary to a lesion in the thyroid gland. After undergoing a total thyroidectomy, he was found to have an exceedingly rare combination of follicular carcinoma, insular carcinoma, thyrolipomatosis and an amyloid goitre in his thyroid gland. He subsequently underwent further radioactive iodine ablation and has been in remission. He was also later incidentally diagnosed with systemic amyloidosis, which explained the amyloid deposition in his thyroid gland.

  • Thyroid disease
  • Endocrine cancer
  • Head and neck cancer
  • Pathology
  • Head and neck surgery
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  • Contributors TLL: drafting and primary author of manuscript. HP, SL, RBA: revision and editing of manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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