Double pyramidal lobe of thyroid gland: A rare presentation

Knowledge of the variations of the pyramidal lobe of the thyroid assumes importance as it has direct implications on the outcome of the primary surgery and on the postoperative radioiodine ablation. If not recognized and completely removed at the time of initial thyroid surgery, it may be site of residual/recurrent disease and also may interfere with the efficient radioiodine ablation postoperatively. We report a unique case of the double pyramidal lobe of thyroid gland in an operated woman with papillary carcinoma thyroid. Our literature search revealed only one documented case of the double pyramidal lobe. Knowledge and recognition of such a variation is highly useful for clinicians to perform safer and effective thyroid surgery.