Hürthle cell adenoma is a rare variant of benign lesion of thyroid gland, however aggressive nature and potential controversies
about its malignant nature still remains. Pre-operative diagnosis is difficult, fine needle aspiration cytology may show Hürthle
cell lesions, but final diagnosis is confirmed by histopathology for capsular and vascular invasion. Here in we report a case of a
32-year-old female who presented with a swelling in front of the neck of one-year duration. The total thyroidectomy with
functional block dissection was performed and histopathology revealed Hürthle cell adenoma -Thyroid mass Hashimoto’s
thyroiditis - adjacent thyroid lymph node’s - reactive changes.