COURSE on THYROID ULTRASOUND
Section 6 Advanced courses
Part 4 The relation between a discrete lesion and a pathological nodule
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Lesions vc. nodule - case 495
Clinical data: A 72-year-old woman was referred for aspiration cytology of a nodule described as suspicious on previous ultrasound examination. The patient has been treated for hypothyroidism for more than three decades. She noticed a sudden increase in the size of the right lobe in the last couple of months and a deepening of her voice. Laryngology revealed intact function of the recurrent nerve.
Palpation: The right lobe was enlarged and hard on palpation.
Laboratory data: TSH 9.01 mIU/L, FT4 12.2 pM/l on daily 75 microgram levothyroxine. The aTPO level was above 1300 U/mL.
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