Endocrine Abstracts

32 male presented with painless neck swelling for 3 weeks and finding was consistent with MNG. Us neck showed right lobe is enlarged and contains a 11 mm × 12 mm × 15 mm irregular, echo poor nodule with calcification. BTA classification is U5. (Malignant) and followed with Right thyroid nodule FNA was consistent with Oncocytic variant of papillary thyroid carcinoma Thy5. Initially TFTS showed TSh: 1.00 miu/l Free T4: 17.9 pmol/l. Patient underwent total thyroidectomy...

Introduction: The thyroid lymphoma (TL) is a rare disease, accounting for less than 2% of thyroid neoplasms. The majority of cases are of the non-Hodgkin (NHL) B-cell lineage and large cell type.Objective: To present a rare case documented in the literature of Primary Nodular Sclerosis Hodgkin Lymphoma (HL) of the thyroid, in a 20-year-old male patient.Methods: The clinical history and records of the case, biopsy reports, immunohis...

Introduction: This case report described a patient who presented with medullary thyroid carcinoma (MTC) requiring a total thyroidectomy and radial neck dissection. Genetic testing performed in the context of MTC revealed RET proto-oncogene mutation. Baseline screening identified bilateral pheochromocytomas requiring treatment with bilateral adrenalectomy. Case report: 60-year-old male patient presented with a neck lump which had been present for few year...

Background: Radiofrequency ablation (RFA) is an outpatient image-guided thermal ablation procedure that is an alternative to surgery for treating thyroid nodules. It is minimally invasive, cosmetically superior and associated with less risk of hypothyroidism.Case: We discuss a case of 53 years old female who presented with palpitations, feeling hot, sweating, tremors, weight loss, and pins and needles. On examination, thyroid was palpable and there were ...

Thyroid nodules are very common findings in clinical practice. Only a fraction of these thyroid nodules are malignant and reliably differentiating those remains a challenge. We present a case of a man who presented with an enlarging neck mass causing compressive symptoms. This was diagnosed as a multinodular goitre (MNG). However, histopathological analysis revealed it to be diffuse large B-cell non-Hodgkin lymphoma (DLBCL). A 50-year-old male was referred to our endocrinology...

A 13-year-old girl was noted to have a right-sided thyroid swelling on being reviewed by her paediatric endocrinologist. Neck examination confirmed a nodular mass in the right thyroid lobe, rubbery in nature, non-tender, mobile on swallowing but not on extrusion of the tongue. There was no thyroid bruit. She was clinically euthyroid with no dysthyroid eye disease or peripheral stigmata of thyroid dysfunction. Thyroid Ultrasound reported a grossly enlarged right thyroid lobe du...

Background: The management of differentiated thyroid cancer involves multiple modalities such as surgery, radioactive iodine ablation therapy (RAIA), external beam radiotherapy (EBRT), thyroid-stimulating hormone (TSH) suppression, and chemotherapy in cases of persistent or recurrent disease. Long-term follow-up incorporates Dynamic Risk Stratification (DRS) using thyroglobulin (Tg) and neck ultrasound. This case focuses on a 65-year-old patient with Follicular Thyroid Carcino...

Introduction: Follicular thyroid cancer (FTC) is a tumour of the thyroid epithelium with follicular differentiation and invasion into capsule or vessels. Constitutes 10% of all thyroid cancers, may be minimally or widely invasive. metastases in 20% of cases by haematogenous spread, rarely to lymph nodes. Twice as common in females as males, mean age 50years. Treated with thyroidectomy, radioactive iodine ablation and TSH suppression with levothyroxine.Ca...

We present a case of 40 years old lady who was referred to us with a thyroid nodule in her right lobe. She was well, but on specific questioning reported weight loss of about 3 kgs over the past month and some mild heat intolerance. The nodule was 2 cm in size and the patient was clinically euthyroid. Thyroid function tests demonstrated a suppressed serum TSH with a mildly elevated serum T3. A thyroid ultrasound scan was performed which demonstrated that the palpable nodule wa...

45 year old female referred to the endocrine clinic by GP for further management of her ongoing thyroid issue. Patient had recently moved from China. In China during her general health check, doctors over there found that she had 2 small thyroid nodules in her left lobe of thyroid and they recommended hemi-thyroidectomy for that. No significant family history of any thyroid disorders. Post hemi-thyroidectomy she went back for another surgery for lymphatic leakage post hemi-thy...

70-year-old woman presented with a 2-month history of a left-sided neck lump. Generally well with no swallowing issues, no weight loss, and no systemic upset. Previous history of breast cancer 10 years ago requiring bilateral reduction mammoplasty and radiotherapy. Ex-smoker. There is a strong family history of hypothyroidism. On examination, well and euthyroid. Palpation revealed obvious left-sided anterior neck mass. Nodule was smooth, firm, and minimally tender on palpation...