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Monday 5 October 2015

CASE 338: THYROID CANCER, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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case-338-thyroid-cancer


Man 30yo, in general check-up,  ultrasound detected  thyroid tumor  at right and left  lobes.
US1 scan at   right lobe, small nodule 1cm diameter,  hyperechoic due to  calcification.


US 2 scan at  left  lobe,    round border tumor, 4 cm with many white calcification spots.



US 3 & US 4:  CDI of  left  thyroid tumor, hypervascular.



US 5  elasto scan of right  tumor was very hard.


US 6 elastoscan with Q box score,  tumor in comparison to  normal thyroid tissue.


No detection of  regional lymph nodes.
Report  by  sonologist   was suspected  thyroid carcinoma, THYRADS IV, and FNAC of  the left tumor was  PAPILLARY  CARCINOMA.


DISCUSSION: B MODE  SCAN  THYROID TUMOR   WITH MANY  WHITE SPOTS  WITHOUT  SHADOWING, IT IS   MICROCALCIFICATION NAMED   PSAMMOMA BODY..WHICH  IS  TYPICAL  OF  PAPILLARY THYROID CARCINOMA.

ELASTOSCAN THIS TUMOR   WITH  QUANTITATIVE Q-BOX  IS 99.5 kPa  IN COMPARISON WITH   NORMAL THYROID  GLAND IS  12.2 kPa.
ELASTOSCAN  IS NEW  TECHNOLOGY  FOR  DETECTION  THYROID  CANCER.


REFERENCE


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