Data
Clinical presentation: A 68-year-old woman was referred for evaluation of fatigue, weight gain and 'lump in the throat' feeling.
Palpation: no abnormality.
Laboratory test: TSH 5.31 mIU/L, aTPO 54 U/mL.
Cytology resulted in benign cystic-colloid goiter.
Diagnosis. Subclinical hypothyroidism. Benign nodular goiter.
Suggestion: TSH in 6 months, ultrasound in two years.