COURSE on THYROID ULTRASOUND

Section 4 Non-thyroidal elements in the anterior neck region

Part 2 Neck lymph nodes

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Lymph nodes - case 1099

Clinical data: A 74-year-old woman was referred for evaluation of a lymph node in the right side of the neck. The node was detected on PET-CT scan. She was operated on ductal invasive breast cancer 30 years ago. Twenty-five years later, a recurrent metastatic lymph node in the right axilla was removed. She was now investigated because of 7 kg lost in weight. There was no other PET-positive finding.

Palpation: a firm node lateral and lower to the right thyroid.

Laboratory data: TSH 7.60, FT4 15.2 pM/L, aTPO 19 U/mL.

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