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January 1977


Author Affiliations

Department of Pediatrics Division of Endocrinology National Naval Medical Center Bethesda, MD 20014 JUAN F. SOTOS, MD Department of Pediatrics Children's Hospital Research Foundation Columbus, OH 43205

Am J Dis Child. 1977;131(1):97-98. doi:10.1001/archpedi.1977.02120140099017

A young girl had a nodular goiter that was thought to represent malignant thyroid disease. However, the lesion proved to be a congenital cyst arising from the respiratory tract. Although such lesions have been described, they have never been reported to present as suspected abnormal thyroid tissue.

Report of a Case.—A girl, aged 3 years and 2 months, was well until seven months prior to admission to Childrens Hospital of Columbus, Ohio. At that time the mother first noticed a swelling of the left side of her neck. During the next seven months no appreciable change in the size or consistency of the mass was noted by the family physician or the mother. There were no symptoms of thyroid malfunctions.

Physical examination showed a normalappearing, pleasant 3-year-old girl. The only abnormal finding was a diffuse nodular enlargement of the entire left lobe and isthmus of the thyroid. The mass