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COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 1 Large goiters

Videolibrary

Large goiters - case 620

Clinical data: A 68-year-old woman came to a routine follow-up. First, we met her 9 years ago when an enlarged, multinodular goiter was detected. The dimensions of the right lobe were 38x32x65 mm, width, depth, length, respectively. Aspiration cytology resulted in benign colloid goiter. Considering the degree of enlargement and the substernal spread, surgery was advised. The patient refused our suggestion because she had no complaint. In the upcoming years, we met her 3 times and no progression was detected. This time, 3 years after the last visit, the patient told us that difficulties in swallowing has appeared.

Palpation: The right lobe and the isthmus had multiple, not firm nodules.

Laboratory data: TSH 2.17 mIU/L, FT4 13.3 pM/L.

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