Female 29 yo, getting big neck faster.
Last year she got some small colloidal cyst on right lobe. But at this time
ultrasound detected hypoechoic mass on right lobe, #34x60x24mm with many small cysts inside,
calcified and hyperechoic nodules and vascular
network between cysts which was thought to be colloidal cysts.
With elastoultrasound ARFI, lesion
was harder than the surrounding, black color on VTI and blue code on Esie Touch.
Elastographic velocity was higher , V=2.7à
3.14 m/s than the surrounding, v=1.28m/s. It suggested a malignant lesion on
elastographic US.
Microscopic result of FNAC was
PTC.
Discussion: An interesting case of PTC with appearance of many small cysts
which make confusion to colloidal cysts. Clinical
findings which helped to diagnose are tumor
getting bigger faster on one lobe of thyroid. And ARFI elastoUS keeps the predictive role in diagnosing
exactly for this case.
No comments:
Post a Comment