Man, 57 y.o.
Enlarged thyroid in the right lobe; very increased firmness;
painful palpation with irregular surface.
The borders of the gland are
indistinct; very irregular echo pattern, with echopoor shaded
areas due to the presence of oedema and pseudonodular
appearance.
Laboratory tests: poor
hyperthyroidism, very high flogistic indexes.
FNA: giant Langhans cells,
acute and chronic flogistic cells, many fibroblasts.