CASE 621: INCIDENTAL THYROID SMALL TUMOR, Dr PHAN THANH HẢI, Dr NGUYỄN TUẤN CƯỜNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Female patient 48 yo came to Medic Center for a check-up .

Ultrasound for thyroid incidentally detects a small nodule in left lobe that belongs TI-RADS 5 classification. Solid nodule, not well limited border,  hypoechoic, non hypervascularized without calcification. 

Lab data  TSH usensitive 1.4ulU/mL, free T4 1.13ug/dL, Antithyroglobulin 498UI/mL, Anti Microsomal [TPOAb] 37.47UI/mL.

Although there is guidelines of no need to biopsy for thyroid nodule under 1 cm of diameter, a FNAC was performed. 

And  histopathological report is a follicular lesion, BETHESDA System Group III that means a follow-up planning must be made and in some day removing small tumor will be done.