COURSE on THYROID ULTRASOUND
Section 6 Advanced courses
Part 1 Large goiters
Videolibrary
Large goiters - case 432
Clinical data: An 83-year-old woman came to a follow-up. She had no complaints. She has been treated with ethanol sclerotherapy for 19 years. An autonomously functioning adenoma caused hyperthyroidism and she refused both surgery and radioiodine therapy. The dimensions of the nodule were 37x34x51 mm (33.6 mL), width x depth x length, respectively. Eight sessions of sclerotherapy were applied. The hyperthyroidism ceased, the patient stopped taking thyrostatic therapy and the size of the nodule was significantly reduced. Sixteen years after the therapy, the dimensions of the nodule were 27x28x39 mm (15.4 mL) and the TSH was 1.09 mIU/L.
Palpation: The left lobe was substantially enlarged and had a hard nodule.
Laboratory data: TSH 0.18 mIU/L, FT4 13.4 pM/L.
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