Papillary thyroid carcinoma

Case contributed by Melbourne Uni Radiology Masters
Diagnosis certain

Presentation

Neck mass.

Patient Data

Age: 43-year-old
Gender: Female

Cx FNA

ultrasound

22 mm left lobe thyroid nodule containing small and large foci of calcification and with numerous small cystic spaces consistent with papillary carcinoma. Immediately adjacent to the upper pole of the left lobe An adjacent to the carotid sheath, there is a single lymph node which has slightly irregular hypoechoic cortex. The significance of this is equivocal, but because of the slight variation in cortical width an FNA of part of this was performed with 25 gauge needle ( 2 passes ). 

Case Discussion

Biopsy confirmed a papillary thyroid cancer.

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