Thryroid malignancy
Mr X presented with a swelling rt side of neck for 4 to 5 yrs gradually increasing in size No associated complaints O/E A mass felt in the rt posterior triangle of neck approx 5×3×3 cm cystic in consistency,surface smooth,margin well defined, mobile with no fixity to underlying and adjacent structures Investigations USG neck and thyroid Cystic sol 6×2.5 cm with soft tissue component and septations are noted in the lower part of rt side of neck Thyroid Rt normal in shape and size Few hypoechoic and cystic sol of 16×10 mm S/O adenoma/ colloidal cysts Lt normal in shape and size An oval shaped mildly echogenic sol 14×10 mm noted S/O adenoma/ colloid cyst CT neck with contrast Well defined lobulated solid cystic lesion 41×30 mm seen in rt side of neck abutting anteromedially the sternomastoid muscle Solid component shows homogeneous enhancement suggestive of ? Neoplastic Desmond tumour ? Inflammatory Xray chest w n l FNAC No evidence of malignancy D/D Metastatic secondary Lymphoma Kochs Operative notes Mass rt posterior triangle of neck excised Post OP uneventful Sutures removed wound dry Histopathological report Consistent with metastatic secondary papillary carcinoma of thyroid Final diagnosis Stage 4a papillary carcinoma of thyroid Uicc stage T2 N1b M0 Plan Total Thyroidectomy Central node clearance Modified radical neck dissection Followed 6 to 12 wks PO RAI treatment in Hypothyroid state
The Diagnosis is Papillary carcinoma of Thyroid Stage 4A ( T2N1bM0 ) Referred for Total Thyroidectomy with MRND 8 to 12 wks after surgery Radio active iodine treatment when the patient is in state of advanced Hypothyroid
The Diagnosis is Papillary carcinoma of Thyroid Stage 4A ( T2N1bM0 ) Referred for Total Thyroidectomy with MRND 8 to 12 wks after surgery Radio active iodine treatment when the patient is in state of advanced Hypothyroid
Cases that would interest you
- Login to View the image
55 years male Tissue from bladder mass Grossly multiple brown white tissue bits
Dr. Pallabi Bora0 Like18 Answers - Login to View the image
43 year female thyroid FNA 1x1cm nodule. ..duration 1year
Dr. Syed Mukhtar3 Likes15 Answers - Login to View the image
Good afternoon Curofians on this breezy sunday. Hope y'all enjoying your holiday. Case details : 13 year old female, diffuse mass over right paravertebral region on the back. Swelling soft and ill defined. Swelling roughly measured 6x4 cms. FNAC done, aspirated blood mixed granular white material, easy to spread. USG not affordable by the patient. Attached 12 slides. What is your cytodiagnosis? Give precise description, differential diagnosis, further workup and your suggestions. Thank you, Best regards. [Credit : Dr.Kazi Wajid Husain.,MD]
Dr. Kazi Wajid Husain10 Likes22 Answers - Login to View the image
28 male thyroid swelling...... moves with deglutition soft in consistency. aspirated 1ml of clear thick gelatinous material. Kindly opine
Dr. Vinay Kumar R1 Like17 Answers - Login to View the image
A huge Thyroid mass, known Papillary Carcinoma thyroid since July 2016, untreated.
Dr. Harilal Dobaria1 Like18 Answers
1 Like