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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