Man, 61 y.o.
Large, very firm nodule in the
left lobe
(cm 5x7x8 circa, 140 cc);
Hypoechoic,
widely dishomogeneous structure, with irregular borders.
The trachea was displaced to the right side.
Pathologic left cervical lymphatic node
enlargement.
The upper image was made by convex 5 MHz
probe, the lower by linear 10 MHz probe.
Serum calcitonin:
618 pg/ml (n. v. <10).
FNAB in the thyroid nodule: medullary
carcinoma.
FNAB in a lymphatic node: medullary carcinoma.
Histological examination: medullary carcinoma.
Ultrasound
scan of the lymphatic node metastasis.
Colordoppler and powerdoppler scan of the
thyroid.
Colordoppler scan of the lymphatic node
metastasis.
