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COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 2 The composition of the nodule

Videolibrary

The composition of the nodule - case 6

Clinical data: A 39-year-old pregnant woman was referred for ethanol sclerotherapy on her 16th gestational week. The patient had been known harboring a nodule for 9 years. Even at the first examination a subclinical hyperthyroidism was detected. At this time scintigraphy detected a partly "cold", partly "warm'" nodule. Surgery was suggested on each visit, but the patient refused the proposal because she had no complaints. She has never got any medication. The largest diameter of the nodule has increased from 37 mm to 46 mm over the past 6 years.

Palpation: The right lobe was suspicious having a hard nodule while the left lobe was enlarged and nodular on palpation.

Laboratory data: TSH 0.01 mIU/L, FT4 12.1 pM/L, FT3 6.30 pM/L. 

For details of the case study, click here.