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Virtual Pediatric Hospital: Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology: Case 12

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 12

Michael P. D'Alessandro, M.D.,
Steven J. Fishman, M.D.,
Deborah E. Schofield, M.D.

Peer Review Status: Internally Peer Reviewed
Chief Complaint:
Sixteen year old female with a neck mass.

Clinical History:
The patient was a 16 year old female who noticed the development of a midline neck mass.

Clinical Physical Exam:
A large nodule in the thyroid gland was visible and was easily palpable.

icon gificon gifImages 1 and 2

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Thyroid adenoma vs. thyroid carcinoma

Imaging Findings:
An outside thyroid ultrasound (not available) showed the nodule to be solid. An outside nuclear medicine scan (not available) showed it to be a cold nodule.

Imaging Differential Diagnosis:
Thyroid adenoma vs. thyroid carcinoma

Operative Findings:
An excisional biopsy was electively performed on via a curvilinear low collar incision. The right lobe of the thyroid gland, containing the mass, was removed. Several lymph node biopsies were performed and were negative for tumor.

Pathological Findings:
Examination of the surgical specimen revealed a well-encapsulated lesion that exhibited findings characteristic for a follicular adenoma.

icon gifImage 3

icon gificon gifImages 4 and 5

Final Diagnosis:
Thyroid Adenoma, Follicular

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
Case 16

References:

Title Page


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