Day 1 in a thyroid unit - patient 22 (case 2522) - videorecord


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Data

Clinical presentation: A 66-year-old woman was referred for evaluation of thyroid disease. She noticed a painful suddenly developed lump in her right thyroid 4 months ago. The mass spontaneously decreased in size in the upcoming weeks and the pain has resolved.

Palpation: An elastic nodule in the right lobe.

Laboratory test: TSH 0.24 mIU/L, FT4 12.7 pM/l.

3.5 mL brown fluid was aspirated from the nodule. Cytology resulted in benign cystic degeneration.

Diagnosis. Euthyroidism. Benign nodular goiter.

Suggestion: TSH in 6 months, ultrasound in a year, sooner in case of complaints. If the cyst would relapse, then ethanol sclerotherapy.

 

 

 

 

 

 

 

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