Huge colloid node

Case contributed by Dr Nikola Todorovic
Diagnosis certain

Presentation

Slowly growing lump on the right side of the neck for years. Currently, mild difficulty breathing.

Patient Data

Age: 60 years
Gender: Female
ultrasound

There is a huge ovoid heterogenous, mostly isoechogenic node in the right lobe of the thyroid gland. It measures approximately 70 x 35 mm, has zones of cystic and colloid degeneration, and also a small calcification. The vascularity is moderately increased in the periphery of the node.

Case Discussion

This patient had a palpable, growing mass on the right side of her neck, without having it examined for years. She underwent biopsy, with results confirming a colloid node.

The surgeon decided to perform lobectomy anyway, with histopathology reconfirming a colloid node.

This particular node could be classified as a TIRADS 4 node.

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