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• Extrathyroidal spread

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COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 7 Extrathyroidal spread

Videolibrary

Extrathyroidal growth - case conp 025 - part 2

Clinical data: A 60-year-old woman was referred for evaluation of nodular goiter six years ago. At that time, a papillary cancer was diagnosed which proved to be a T4 cancer with lymph node metastases. The patient underwent total thyroidectomy and radio-iodine therapy. In the upcoming years, she was managed in another hospital. The thyroglobulin level was between 2.9 and 5.5 ug/L in the previous years without any tendency. On the last visit, a rise in the thyroglobulin level was detected (10.2 ug/L). She was referred for further evaluation.

Palpation: a firm mass in the left thyroid bed.

Laboratory data: mild hyperthyroidism on daily 150 microgram levothyroxine with TSH 0.03 mIU/L, FT4 28.2 pM/L.

For details of the case study, click here.