Section 6 Advanced courses

Part 1 Large goiters


Large goiters - case 834

Clinical data: A 61-year-old man was referred for evaluation of a thyroid nodule causing a 50% degree of tracheal compression and significant substernal spread. The lower pole of the left lobe was 19 cm below the level of the clavicula. The lesion was revealed on a chest CT scan which was performed because of COVID-19 infection. The patient had no complaints, and he was not aware of any thyroid problem.

Palpation: The thyroid was located inferior to the usual position. The left lobe was palpable and enlarged.

Laboratory data: TSH 0.05 mIU/L, FT4 14.8 pM/L.

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