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Study on 100 consecutive patients with thyroid nodule - case 045

Nodular goiter

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Clinical presentation: A 76-year-old woman was referred for percutaneous ethanol sclerotherapy. The patient noticed a suddenly developed lump in the left thyroid 4 month ago which caused difficulties in swallowing. Within 2 weeks after aspirating 19 mL cystic fluid, the cyst had relapsed. Cytology resulted in benign cystic lesion.

Palpation: a large nodule in the left lobe.

Hormonal evaluation indicated euthyroidism (TSH 0.95 mIU/L).

Ultrasonography. The thyroid was echonormal. The left lobe contained a large cystic nodule with a minimally hypoechogenic solid part on the dorsal part. The lesion presented with a perinodular blood flow.

Six sessions of sclerotherapy were applied

 

 

 

 

 

 

 

 

 

 

 

 

 

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