Papillary thyroid cancer

Case contributed by Khalid Alhusseiny
Diagnosis almost certain

Presentation

Right side neck swelling of insidious onset. No fever or pain.

Patient Data

Age: 30 years
Gender: Male
ultrasound

There is a relatively well-defined hypoechoic solid nodule seen at the right thyroid lobe. The nodule shows microcalcifications and internal vascularity. Right side cervical lymph nodes are seen showing microcalcifications.

This lesion shows high suspicion pattern according to the American Thyroid Association (ATA) guidelines and classified as TR5 according to ACR TI-RADS scoring system.

Case Discussion

Fine needle aspiration was done and histopathology revealed papillary thyroid cancer for which the patient undergone hemithyroidectomy.

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