Consecutively operated patients - lesion 29 (videorecord)

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Clinical presentation: A 67-year-old woman was referred for evaluation of a nodular goiter which has been known for decades. The patient had already had difficulties in swallowing and has noted a deepening in her voice for a couple of years. She requested evaluation of the thyroid several years ago when an ultrasound and scintigraphy were performed. The latter disclosed a decreased uptake in the right while a normal in the left lobe.

Palpation: both lobes were enlarged and nodular on palpation.

Laboratory test: TSH 0.27 mIU/L, FT4 15.9 pM/L.

Lesion in question:

the nodule in the right lobe.