Thyroid cancer - Radiofrequency - Puncture - Diagnosis - Treatment
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A 64-year-old patient consulted following the discovery of a right retro-thyroid lesion during a Doppler examination of the neck vessels.
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Ultrasound shows a lesion in contact with the lower pole of the right thyroid lobe measuring 31 x 15 mm of hypoechoic solid echostructure with regular clear contours.
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The Doppler shows weak vascularization.
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Diagnostic hypothesis:
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Giant parathyroid adenoma?
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Bulky thyroid nodule in extra-thyroid position?
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Bulky adenopathy?
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Others………
A requested PTH assay shows normal parathyroid balance with normal PTH and no hypercalcemia.
The thyroid biological assessment is also normal.
A cytopuncture carried out for cytological analysis and dosage of thyroglobulin and PTH.
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The in situ assay shows the absence of thyroglobuline and PTH.
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Cytopuncture is non-contributory.
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In the absence of diagnosis, a surgical decision accepted by the patient.
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Examination of the surgical specimen compatible with un altered schwannoma.
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Absence of signs of malignancy.
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