Thursday, 1 February 2018

CASE 475: INCIDENTAL THYROID CARCINOMA ON CT, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Man 55 yo for check- up  MSCT  total body and blood tests.

Radiologist report  detected one mass # 1.6 cm at right lobe  of thyroid gland,  with  HU 91 UI  in comparison to  the thyroid tissue background =121UI ( CT1  CT2  CT3).




Blood test is normal thyroid function.

Ultrasound scanning is second look:

US 1:  crossed-section  of the hypoechoic  focal  lesion, well-bordered #  1.5 cm.
US 2:  longitudinal scanning of  the mass is 1. 7 cm, hypoechoic pattern,  with 
US 3:  CDI = hypovascular  mass,  no lymph node in the neck.





This mass is  in TI-RADS 3, need  FNAC.
FNAC report suspected  papillary carcinoma ( PTC).



Operation is done for subtotal thyroidectomy (see macro 1,2).




POST OP  PATHOLOGY REPORT IT IS PTC [PAPILLARY THYROID CARCINOMA].


REFERENCE:



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