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COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 1 Large goiters

Videolibrary

Large goiters - case 1166

Clinical data: An 82-year-old woman was referred for valuation of an extremely large goiter which was developed after a severe psychological trauma 11 years ago. It was then that she was diagnosed with hyperthyroidism, she has been taking medication ever since. The proposed surgery was then rejected by the patient. Over time, the patient experienced a slow growth of the goiter and difficulties in swallowing has appeared.

Palpation: an extremely enlarged thyroid with multiple nodules.

Laboratory data: TSH 12.7 mIU/L, FT4 5.11 pM/L on daily 20 mg methimazole.

For details of the case study, click here.