Papillary thyroid carcinoma

Case contributed by Dr Garth Kruger

Presentation

45 year old man with a coincidental abnormality seen on CT. Ultrasound suggested.

Patient Data

Age: 45
Gender: Male
Modality: Ultrasound

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Modality: Ultrasound

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Case Discussion

This image shows all the hallmarks suggestive of a malignant thyroid lesion:

1. The lucent "halo" around the lesion is gone. The lesion infiltrates the surrounding thyroid tissue. Benign lesions typically have a sonolucent well defined "halo" which is crearly defined

2. Visible microcalcifications

3. The lesion is hypoechoic compared to the normal parenchyma

4. the lesion is as tall as broad. Benign lesions are typically broader than tall.

This was a confirmed papillary carcinoma on FNA.

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Case Information

rID: 18565
Case created: 12th Jul 2012
Last edited: 18th Mar 2017
System: Head & Neck
Inclusion in quiz mode: Included

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