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Embryology
Thyroglossal duct - from the median bud of the pharyngeal arch Descends from the foramen caecum In close contact with or through the hyoid bone
Development-THYROID
PARATHYROIDS
PYRAMIDAL LOBE
Contd.
Surgical Anatomy
Right lobe,left lobe,isthmus Pyramidal lobe - may project upwards from isthmus /one of the lobes Levator glandulae thyroideae fibrous/fibro muscular band from body of hyoid to isthmus or pyramidal lobe
relations
Arterial supply
Superior thyroid artery 1st branch of ECA Inferior thyroid artery from thyrocervical trunk which also supplies parathyroids Thyroidea ima seen in 3%, arises from brachiocepalic trunk or directly from arch of aorta Accessory thyroid arteries from tracheal and esophageal arteries
Surgical anatomy
Lymphatic drainage
Extensive lymphatic network within the gland
Some lymph channels pass directly to deep cervical node Sub capsular plexus drains principally into juxtathyroid nodes (pre & parathyroidal) and from there to the deep cervical and mediastinal nodes
Histology
Functioning unit lobule Supplied by single arteriole Consists of 24-40 follicles,lined by cuboidal epithelium,contains colloid in which thyroglobulin is stored Parafollicular C cells lie between the follicles
BENIGN TUMOURS
Solitary nodules Histology Wide excision-lobectomy
Etiology-malignant tumours
PAPILLARY-radiation -ret/PTC3,ret/PTC1 oncogene -hormone dependant-TSH FOLLICULAR-endemic goitre,MNG MEDULLARY-parafollicular C cells -MEN-ll -not TSH dependant
references
Bailey and Loves short practice of surgery 25th Human embryology I.B.Singh 8th edition Human anatomy vol 3,4th editionB.D.Chaurasia
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