Woman, 76 y. o.
Very enlarged gland, with irregular surface. Very firm consistence.
Strong echopoor structure, pseudonodular, with echogenic
bands due to fibrosis.
Rich vascularization (type IV).
Serious hypothyroidism with
strongly positive thyroid peroxidase antibodies.
FNA: lymphoid inflammatory infiltration;
oncocytes without atypias. Thyrocytes in active proliferation with chromatin clarification
and overlapping nuclei.
Histologic exam: Hashimoto's thyroiditis.
Ultrasound scan images.
Surgical image of the gland.
