COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 7 Extrathyroidal spread

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Extrathyroidal growth - case conp 007

Clinical data: A 62-year-old woman requested a second opinion. She has noticed a lump in the right side of the neck for three months. On evaluation a moderate degree of hyperthyroidism was detected. The nodule did not take up radioiodine. TSAb and anti-TPO resulted in normal level. Cytology was not diagnostic and surgery was advised.

Palpation: The right lobe was firm and nodular.

Laboratory data: subclinical hyperthyroidism on daily 15 mg methimazole: TSH 0.13 mIU/L, FT4 11.6 pM/l, FT3 4.07 pM/l.

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