January 19, 2023 Type 1 Webinar on nodule' shape and borders

Case 363


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Clinical data

Clinical presentation: A 45-year-old woman requested evaluation because of right-sided neck sensitivity for a few weeks. Her thyroid was already examined 12 years ago. She was then euthyroid and the aTPO value was 344. An annual check was recommended.

Palpation: The right lobe was tender on palpation.

Laboratory examination: TSH 1.67 mIU/L, anti-TPO 0,5 U/mL, CRP 3.40 mg/L (normal value below 5).

Cytology was prformed from the lesion in the right lobe. The cytological picture fully corresponded to a Hürthle-cell tumor, only oxyphilic cells were on the smear and no inflammatory elements were found.

Topics

  • issue of irregular borders
  • differentiation between a discrete lesion and a pathological nodule
  • integration of clinical, ultrasound and cytological data

 

 

 

 

 

 

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