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Friday, 8 November 2013

CASE 217: THYROID TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC VIETNAM



WOMAN 41 YO, 5 YEARS AGO DETECTED SWOLLEN RIGHT SITE OF THE NECK.
ULTRASOUND DETECTED  A RIGHT LOBE OF THYROID, SOLID,  WELL- BORDERED, WITH SIZE OF 3 - 4 CM IN DIAMETER WHILE THE LEFT LOBE WAS ATROPHY. ON  COLOR DOPPLER  IT WAS NOT A  HYPERVASCULAR NODULE.





ELASTOSCAN WAS SOFT TUMOR.


NO CERVICAL LYMPH NODE DETECTABLE
BLOOD TESTS WERE NORMAL  VALUE OF TSH , T3, AND T4.
WHAT IS YOUR SUGGESTION,  FNAC OR NOT FOR THIS CASE.

Ultrasound guided for FNAC this mass and the result was colloidal goiter.
DISCUSSION:
B-mode ultrasound of thyroid is not full examination of the thyroid, only about the thyroid anatomy .Color Doppler explaines the vasculature, and ELASTOSCAN can guide for FNAC with high accuracy.

REFERENCE

 

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