thyroid nodules are common, occurring in almost two-thirds of some populations; among these only about 7% are malignant. the most important question with any new discovered thyroid nodule is, “is this malignant?” the main arbiter of malignancy or benignity remains fine needle aspiration and the mainstay of treatment surgery. but given the resources involved, doing an fnac or surgery in every di...

conclusions for the first time to our knowledge, we have reported a severe retropharyngeal and upper mediastinum cellulitis, probably due to the fna procedure in an immunocompetent young woman. case presentation a thirty-five-year-old female was admitted to hospital with hoarseness, laryngeal stridor and dyspnea without fever that emerged about 3 days after a first diagnostic fna. after the pro...

Aim: Thyroid scan with sestamibi is used for evaluation of thyroid nodules with the aim of increasing specificity before surgery. In this study we evaluated the role of Sestamibi thyroid scan in candidates for thyroid surgery. Methods and patients: During two years, 37 patients were studied with solitary thyroid nodules, referred for thyroid surgery due to malignant or suspicious FNAB res...

Thyroid nodules are uncommon in children (1.5%). However, the incidence of thyroid carcinoma in childhood thyroid nodules (26.4%) is 3-4 folds higher than in adults. Autonomously functioning thyroid nodules (AFTN) or hot nodules account for less than 3% of hyperthyroidism in children and carry a small risk of malignancy (2-5%). The majority of malignant hot nodules are papillary thyroid carcino...

In December, 2008, an 18-year-old woman, presented with weight loss, palpitations, dyspnoea, heat sensitivity, and excessive sweating. On examination, her pulse rate was 140 bpm and regular, and her blood pressure 130/60 mm Hg. Her weight was 48 kg and height 158 cm. She was anxious and hyperkinetic, with a thyroid stare and lid lag. She had a fi ne tremor of her hands. Her thyroid was diff use...

Differentiated carcinomas of the thyroid gland usually have a good prognosis with prognosis often discussed in terms of 20 year survival. Nevertheless its 10-year-survival rate decreases when accompanied by distant metastasis. Follicular thyroid cancer (FTC) is the second most common thyroid cancer and usually presents with a solitary thyroid nodule with or without cervical lymphadenopathy. Dis...

We report an aggressive papillary thyroid carcinoma (PTC) with focal undifferentiated component in a 32-year-old female. She had limited disease confined within the thyroid gland at diagnosis. Within 12 months of thyroidectomy and radioiodine ablation, thyroglobulin (Tg) levels were elevated. Second radioiodine ablative dose was given, however, stimulated Tg levels showed an upward trend with n...

Solitary splenic metastasis is extremely rare, with only 27 reported cases in the literature. An 81-year-old woman was referred to our hospital for treatment of pulmonary and splenic lesions. Chest computed tomography showed a small lung nodule in the right upper lobe, abdominal computed tomography showed an 8 cm splenic mass with abnormal accumulation, and positron emission tomography revealed...