Man, 61 y.o.
Pathologic left
cervical lymphatic node enlargement.
In the image, roundish node (mm 15x18x18,
2,5 cc); the structure is
hypoechoic,
dishomogeneous, and there
is no evidence of the hilum.
Large, very firm nodule in the
left lobe
(cm 5x7x8 circa, 140 cc).
The trachea was displaced to the right side.
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 thyroid.
Colordoppler and powerdoppler scan of the
thyroid.
Colordoppler scan of the lymphatic node
metastasis.
