CASE 668: THYROID TUMOR, Dr PHAN THANH HẢI, Dr PHẠM THỊ THANH XUÂN, MEDIC MEDICAL CENTER, VIETNAM.

A 64 year-old male diabetic patient with right painfull swollen neck for 2 weeks, he has also got impermanent tinnitus and hoarse voice due to right vocal cord paralysis.

Ultrasound of his neck shows a 29x33 mm big right lobe of thyroid, hypoechoic mixed pattern, poor-limited while the left lobe is intact with its slightly small size #15x17mm. It exists many round and ovale, hypoechoic lymph nodes on both 2 sides of his neck maybe due to metastase or infiltrated lymphoma.

Result of lymph node biopsy is poorly differentiated carcinoma metastase node.

MSCT of neck and chest detect lymph nodes in mediastinum, and on 2 sides of neck that are thought due to metastasis from unknown origin. The  right lobe of thyroid represents undetermined lesion and low captured CE. 

As a poorly differentiated carcinoma of thyroid is a rare entity, a FNAC of right thyroid lobe is performed.

And the result of FNAC of right lobe of thyroid is poorly differentiated thyroid carcinoma.

As the poor status the patient just only undergoes a chemotherapy.