Clinical data: a 57-year-old woman experiencing hoarseness and a 10-month history of a self-discovered nodule in the right thyroid lobe.

Palpation: a firm nodule was palpable in the right lobe.

Functional state: euthyroidism (TSH-level 0.58 mIU/L, FT4 15.6 pM/L).

Ultrasonography: there was a hypoechogenic inhomogeneous nodule with intranodular blood flow in the right lobe.

Cytological picture: no colloid in the background. Thyrocytes with abundant cytoplasm are in loose irregular structures and papillary clusters. Follicular cells are enlarged. A few inclusions and grooves are also present.

Cytological diagnosis: papillary cancer.

Histopathology: papillary cancer.

 

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