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Friday, 26 September 2014

CASE 276: PTC, Dr LÊ THANH LIÊM, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Female 29 yo,  getting big neck  faster.





 Last  year she got some  small colloidal  cyst on right lobe. But at this time ultrasound detected hypoechoic mass on right lobe,  #34x60x24mm with many small cysts inside, calcified and hyperechoic nodules and  vascular network between cysts which was thought to be colloidal cysts.  







With elastoultrasound ARFI, lesion was harder than the surrounding, black color on VTI and blue code on Esie Touch. Elastographic velocity was higher , V=2.7à 3.14 m/s than the surrounding, v=1.28m/s. It suggested a malignant lesion on elastographic US.




Microscopic result of FNAC was PTC.


Discussion: An interesting  case of PTC with appearance of many small cysts which make confusion to colloidal cysts. Clinical findings which helped to diagnose are tumor getting bigger faster on one lobe of thyroid. And ARFI elastoUS  keeps the predictive role in diagnosing exactly for this case.

1 comment :

Anonymous said...

This case has to suggest FNAC. Because there are calcifieds . and fast growth .more vascular