Woman, 70 y.o.
Progressive dysphonia owing to right recurrent laryngeal nerve palsy.
Sagittal section of the right lobe.
Large nodule in the top.
Left lobe is not present owing to agenesis.
Calcitonin = 820 pg/ml (n.v. < 10 pg).
CEA=638 ng/ml (n.v. < 8 ng).
FNA: medullary carcinoma (spindle cells).
Histological examination: medullary carcinoma.
Ultrasound scan of the nodule.
Colordoppler ultrasound
scan.
Ultrasound scan of t he left
laterocervical region.
CT of the neck.
Scintiscanning of the
thyroid.
