Woman, 31 y.o.
Two years before total
thyroidectomy for papillary neoplasia with capsular
infiltration and laterocervical lymph node metastasis (T4 N1
M0).
Bilateral laterocervical nodules just beside the
jugular vein, all dishomogeneous, hypoechoic with echogenic bands
and spots, irregular borders with no halo sign. No vascularization of the
nodules.
Fine needle aspiration in all the nodules: epithelioid and
giant cells as a foreign body granuloma.
No thyroglobulin in the needle washing.
Ultrasound scan of the nodules.
Whole body scan with I-131.
Ultrasound scan of the thyroid before
surgery and lymphatic node
metastasis.
