Double Pyramidal Lobe of the Thyroid Gland a Rare Variation: Case Report

  • Arsheed Hussain HakeemEmail author
  • Imtiyaz Hussain Hakeem
  • Hassaan Javaid
  • Fozia Jeelani Wani
Case Report


Knowledge of the variations of the pyramidal lobe of the thyroid is important for surgeons to perform complete resection of the functional thyroid tissue. Complete excision of the thyroid tissue surgery reduces the chances of recurrence in both the benign and the malignant diseases. It is important to remove all functioning thyroid tissue especially in the differentiated thyroid cancer so the postoperative radioiodine ablation is more effective and serum thyroglobulin acts as an efficient marker. We report a case of the double pyramidal lobe of thyroid gland in a woman of age 63 years with follicular thyroid cancer. Our literature search revealed only three documented cases of the double pyramidal lobe. Knowledge and recognition of such a rare variation is essential to perform safe and effective thyroid surgery.


Thyroid gland Pyramidal lobe Total thyroidectomy Radioiodine ablation Thyroglossal duct 


Authors’ Contributions

AHH wrote the draft of the article. AHH, IHH, HJ, and FJW helped in the final writing of the paper and gave final approval of the article. AHH, IHH, and FJW participated in the article revision.

Compliance with Ethical Standards

Competing Interests

The authors declare that they have no competing interests.

Informed Consent

The informed consent was obtained from the patient for the publication of this report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Ethical Approval

All authors read and approved the final manuscript.


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Copyright information

© Indian Association of Surgical Oncology 2019

Authors and Affiliations

  1. 1.Consultant Surgical Oncology (Head and Neck)Apollo Cancer HospitalsHyderabadIndia
  2. 2.Department of NephrologyMetroplex HospitalKilleenUSA
  3. 3.Department of Internal MedicineGovernment Medical CollegeSrinagarIndia
  4. 4.Department of Gynqaecology and ObstetricsApollo HospitalsHyderabadIndia

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