Follicular carcinoma - Case 11. |
Clinical data: A 52-year-old woman has been treated for hyperthyroidism caused by Graves-disease for 6 months. Ultrasound was not performed, Althoug the GP suggested ultrasound, this has not been performed in the endocrine unit.
Palpation: no abnormality.
Functional state: euthyroidism (TSH-level 0.91 mIU/L, FT4 15.7 pM/L) on daily 5 mg methimazole.
Ultrasonography: The thyroid wass moderately hypoechogenic and has two hypoechogenic nodules. The nodule in the left lobe presented coarse calcification. A halo sign could not be seen but perinodular blood flow could be detected on the Doppler mode.
Cytological diagnosis: atypical follicular tumor with greater than the average risk of cancer.
Histopathology: widely invasive, mixed trabecular-oncocytic type follicular cancer.