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Case of the Month

April 2007

Patient Data: 51 year old female

Clinical Info: Palpable painless masses in the right and left thyroid lobe


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Transverse image of a hypoechoic mass in the right thyroid lobe with punctate calcifications


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Transverse image of the same mass with ill defined contour and punctate calcifications


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Transverse image of the rest of the right thyroid lobe without abnormality


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Color doppler image of the mass in the right thyroid lobe with irregular vascularity


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Transverse image of the left thyroid lobe with a partly cystic mass


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Longitudinal image of the left thyroid lobe with the same partly cystic mass

Because the mass in the right thyroid lobe was hypoechoic with an irregular contour, punctuate cacifications and irregular vascularity the lesion showed signs of a thyroid carcinoma. The mass in the left throid lobe on the other hand showed benign characteristics. Examination of the lymphe nodes in the neck showed no pathological nodes.
Biopsy proved the lesion in the right lobe to be a papillary carcinoma. The lesion in the left lobe proved to be a benign adenoma with cystic degeneration.

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References
Frates MC, Benson CB, Charboneau JW, Cibas ES, Clark OH, Coleman BG, Cronan JJ, Doubilet PM, Evans DB, Goellner JR, Hay ID, Hertzberg BS, Intenzo CM, Jeffrey RB, Langer JE, Larsen PR, Mandel SJ, Middleton WD, Reading CC, Sherman SI, Tessler FN.
Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement.
Ultrasound Q. 2006 Dec;22(4):231-8; discussion 239-40.

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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