Woman, 38
anni.
Familial Multiple Endocrine Neoplasia,
type 2A.
Large nodule in the right lobe (mm 22 x 23 x 30;
8 cc), hypoechoic,
with irregular borders, also if with peripheric halo. Small
similar nodule in the left lobe (mm 11 x 10 x 17; 1 cc).
Rich peripheric and internal vascularization.
Serum calcitonin:
478 pg/ml (n. v. <10).
Serum CEA: 373 ng (n. v.
<8).
FNAB of both nodules: medullary
carcinoma.
Histological examination: bilateral medullary carcinoma.
Ultrasound scan
of the thyroid gland,
Colordoppler ultrasound scan
of the thyroid gland.
Doppler of the thyroid artery.
Surgical image of the
gland.
CT scan of the adrenals.
MRI of the adrenals.
MIBG scintiscanning of the adrenals.
Surgical image of the right adrenal.
