April 14, 2022 Type 1 Webinar on distinction between true nodule and other lesions and on teamwork

Case 495


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Clinical data

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.

Hormonal evaluation: TSH 9.01 mIU/L, FT4 12.2 pM/l on daily 75 microgram levothyroxine. The aTPO level was above 1300 U/mL.

Topics

  • Differentiation of discrete lesions in autoimmune thyroiditis.

 

 

 

 

 

 

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