Woman, 31 y.o.
Two years before total
thyroidectomy for papillary neoplasia with capsular
infiltration and laterocervical lymph node metastasis (T4 N1
M0).
Right laterocervical nodule, (mm 3.8 x 9.0 x 10.2), just beside the
jugular vein, left laterocervical nodules (mm 8.3 x 9.2 x 17.5 and 5.0 x 8.2
x 12.2), all dishomogeneous, hypoechoic with echogenic bands
and spots, irregular borders with no halo sign.
Fine needle aspiration in all the nodules: epithelioid and
giant cells as a foreign body granuloma.
No thyroglobulin in the needle washing.
Colordoppler
ultrasound scan of the nodules.
Whole body scan with I-131.
Ultrasound scan of the thyroid before
surgery and lymphatic node
metastasis.
