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Recurrence of Graves’ disease in ectopic thyroid tissue
  1. Kalyna Jakibchuk1,
  2. Sophia Ali2,
  3. Julie Samantray2
  1. 1 Department of Internal Medicine, Detroit Medical Center, Wayne State University, Detroit, Michigan, USA
  2. 2 Department of Endocrinology, Detroit Medical Center, Wayne State University, Detroit, Michigan, USA
  1. Correspondence to Dr Kalyna Jakibchuk, kjakibch{at}


A 40-year-old woman with a history of Graves’ disease status postorbital decompression for severe ophthalmopathy underwent total thyroidectomy by a high volume thyroid surgeon in July 2013 with a benign final pathology. Eight months later, she presented with a mass on the right anterior neck that showed minimal growth over time. Her thyroid stimulating immunoglobulin and thyroid-stimulating hormone receptor antibody levels were consistently elevated and increasing. She underwent removal of the neck mass in September 2016. Final pathology showed benign thyroid tissue with diffuse hyperplasia and lymphoid follicles, consistent with Graves’ disease. We present an unusual recurrence of Graves’ disease post-total thyroidectomy that recurred secondary to ectopic thyroid tissue in the right upper anterior neck deep to the strap muscles.

  • ear, nose and throat/otolaryngology
  • thyroid disease
  • head and neck surgery
  • otolaryngology / ent

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  • Contributors Substantial contributions were made by all authors in the creation of the manuscript. All authors contributed in editing the submitted article, approved the final version and agreed to be accountable for the work.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

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