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COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 2 The operated thyroid

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Operated thyroid - case 2055

Clinical data: A 39-year-old woman was referred for a routine follow-up ultrasound examination. She has been operated on a T1b papillary cancer for 7 years. I met her first 5 years ago when I found a small, suspicious focus of 6x5x7 mm in the left lobe bed. Cytology did not indicate malignancy, only connective tissue cells were on the smear. Two years later, the size of the lesion did not change, no cytology was performed. Thyroglobulin levels have fluctuated between 0.1 and 2.2 microgram/L since surgery, with no detectable trend.

Palpation: no abnormality.

Laboratory data: TSH 0.23 mIU/L, FT3 13.8 pM/L on daily 125 microgram levothyroxine. Thyroglobulin was 1.4 microgram/L, anti-hTg less than 20 U/mL.

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