PAPILLON COURSE on THYROID ULTRASOUND

 

Case of the Month

December 2024 - case 2 (399)

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Data

Clinical presentation: A 47-yr-old woman was referred for aspiration cytology. She noticed a lump in her right thyroid lobe four month ago. Three mL cystic fluid was aspirated in another hospital. FNA resulted in benign cystic lesion. The cyst has relapsed within a few weeks. Among others, calcitonin test was performed and yielded twice an elevated levels (21.2 and 28.9 pg/mL - normal value below 11 pg/mL).

Palpation: an elastic nodule in the right lobe.

Laboratory tests: TSH 2.69 mIU/L, aTPO 0.5 U/mL, calcitonin 28.9 pg/mL.

There are two nodules in question, those that had been aspirated.

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