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Secondary thyroid carcinomas - Case 11.

Metastasis of an adenocarcinoma of the lung

Nodular goiter

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Clinical data: a 71-year-old man was referred for an evaluation of a suspected thyroid carcinoma. He suffered from progressive dyspnea for 3 months, and discovered a large nodule in the left lobe. Laryngology revealed palsy of the left recurrent nerve.

Palpation: a hard fixed mass in the left thyroid.

Functional state: euthyroidism with TSH-level 0.83 mIU/L.

Ultrasonography: an extremely large hypoechogenic nodule in the left thyroid with irregular borders.

Cytological diagnosis: carcinoma.

We performed wash-out technique. The thyroglobulin-determination of the remnant resulted in undetectable level.

Combined diagnosis: secondary carcinoma of the thyroid, probable a metastatic adenocarcinoma.

CT examination: a tumor in the left upper lobe of the lung.

The patient underwent perthoracal biopsy of the mass in the lung.

The biopsy of the lung: poorly differentiated adenocarcinoma cancer.

 

 


 

 

 

 

 

 

 

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