Woman, 70 y.o.
Progressive dysphonia owing to right recurrent laryngeal nerve palsy.
Large nodule in the right lobe (35 x 25 x 43 mm, 19 ml).
Hypoechoic dishomogeneous structure, with irregular borders.
Calcitonin = 820 pg/ml (n.v. < 10 pg).
CEA=638 ng/ml (n.v. < 8 ng).
FNA: medullary carcinoma (spindle cells).
Ultrasound scan of t he left
laterocervical region.
Colordoppler ultrasound
scan.
CT of the neck.
Scintiscanning of the
thyroid.
Surgical
image of the nodule.
