Woman 59 yo, for 10 years, underwent an operation of removing tumor at left lobe of thyroid.
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Now she suffers from cough and change of the speaking voice.
Chest X-Rays shows one mass at upper part of retrosternum.
Ultrasound of the neck:
US 1: crossed section of the right big thyroid lobe with tumor.
U S 2 : this tumor is prolonged from retrosternum. to mediastinum.
US 3: CDI with hypovascular tumor.
US 4: longitudinal tumor scan.
Blood tests: normal thyroid function.
MSCT with CE:
CT 1, CT 2, CT 3 Section at level of neck upper sternum and middle sternum this tumor from right lobe thyroid calcification.
CT 4 : sagittal, C T 5 : frontal section.
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Isotopic Tech 99m scan made diagnostic is thyroid tumor with cold nodule come from r ight lobe of thyroid gland.
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Operation by the way sternotomy removed this tumor well bordered, central solid and cystic parts very highly calcified.
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Conclusion: Goiter tumor submerged in mediastinum.
MICROSCOPIC REPORT IS NODULAR GOITER.
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MICROSCOPIC REPORT IS NODULAR GOITER.
