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

Case 2055 - part 1


Back to Case
 Back to Case
Back to Case

Clinical data

Clinical presentation: A 39-year-old woman was referred for a routine follow-up ultrasound examination. She has been operated on a T1b papillary cancer for 7 years. I met her first 5 years ago when I found a small, suspicious focus of 6x5x7 mm in the left lobe bed. Cytology did not indicate malignancy, only connective tissue cells were on the smear. Two years later, the size of the lesion did not change, no cytology was performed. Thyroglobulin levels have fluctuated between 0.26 and 0.43 ng/mL in the first six years after surgery - with no detectable trend.

Palpation: no abnormality.

Functional state: TSH 0.23 mIU/L, FT3 13.8 pM/L on daily 112.5 microgram levothyroxine. Thyroglobulin was 1.22 ng/mL, anti-hTg < 0.9 U/mL.

Topics

  • Judgement of thyroid remnant.

  • Psychological vs. professional aspects of patient' management.

 

 

 

 

 

 

mask