COURSE on THYROID ULTRASOUND
Section 6 Advanced courses
Part 1 Large goiters
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Large goiters - case 2073
Clinical data: A 70-year-old woman was referred for evaluation of a thyroid nodule which proved to be PET positive. PET CT scan was performed on staging of a ductal breast cancer. The patient has been treated for hypothyroidism for more than 30 years. First, we met her 7 years before the present examination when a multinodular goiter was diagnosed. Aspiration cytology was performed from two hypoechoic nodules, one in the right and another one in the left lobe. Cytology yielded benign lesion. The goiter did not cause compression signs.
Palpation: Both lobes were nodular on palpation. No suspicious nodules were palpated.
Laboratory data: TSH 2.57 mIU/L on daily 75 microgram levothyroxine.
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