April 20, 2023 Webinar on Ultrasound follow-up of patients operated on thyroid cancer

Case 1013 - part 1


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Clinical data

Clinical presentation: A 32-year-old woman has been operated on for papillary cancer for 15 years. Total thyroidectomy and radioiodine therapy were performed. Two small hypoechoic areas within the right thyroid bed were first described 8 years ago. Their size remained unchanged over the years. The thyroglobulin level was regularly checked and was in the range of 0-0.2 ng/mL. The patient gave birth two years before the current examination. This time, she was referred for evaluation of a newly detected suspicious lymph node lateral to the right thyroid bed.

Palpation: a firm mass lateral to the right lobe.

Functional state: TSH 0.01 mIU/L, FT4 17.5 pM/L, thyroglobulin 20.5 ng/mL, anti-hTg < 0.9 IU/mL on daily 125 microgram levothyroxine.

Topics

  • The role of ultrasound after total thyroidectomy.

  • Judgement of the remnant.

 

 

 

 

 

 

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