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Year : 2020  |  Volume : 28  |  Issue : 2  |  Page : 111-113

Persistent metastatic thyroid carcinoma

1 Wilmington Endocrinology, PA, USA
2 Wilmington Pathology Associates, Wilmington, NC, USA
3 University of Connecticut, Farmington, CT, USA

Correspondence Address:
Dr. Ghobad Azizi
Wilmington Endocrinology, P.A. 1717 Shipyard Boulevard, Suite 220, Wilmington, NC 28403
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JMU.JMU_81_19

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The decision to biopsy small thyroid nodules (TNs) is controversial. Careful ultrasound (US) evaluation with shear wave elastography (SWE) of TN and cervical lymph nodes (LNs) may aid in the decision to biopsy and subsequently influence the extent of surgery. A 46-year-old female presented with TNs and hypothyroidism. Her target TN in the left lobe measured 4.8 mm × 4 mm × 4 mm. Fine needle aspiration biopsy of the left TN and a left neck level 6 LN was diagnostic for papillary thyroid carcinoma. In the left lateral neck posterior to the jugular vein, there was a LN with possible microcalcifications that could not be sampled due to vascular proximity. SWE examination showed high velocity suspicious for metastatic disease. In summary, risk stratification for small TNs and cervical LNs can be difficult. SWE can provide valuable information for assessing the risk for malignancy.

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