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Autonomous Thyroid Nodule with Papillary Thyroid Cancer (Thyroid Scintigraphy / Contributed by Indonesia)

Autonomous Thyroid Nodule with Papillary Thyroid Cancer (Thyroid Scintigraphy / Contributed by Indonesia)
Hussein Kartamihardja, MD
Universitas Padjadjaran, E-Learning in Nuclear Medicine An Electronic Atlas of Interesting Nuclear Medicine Cases
Bahasa Inggris
Universitas Padjadjaran, E-Learning in Nuclear Medicine An Electronic Atlas of Interesting Nuclear Medicine Cases
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HISTORY 65-year-old female noted palpable mass in her left retro-auricular region six months prior to consultation. The mass was painless and slow growing. Recurrence of mass was discovered after extirpation. She had no history of thyroid disorder. FINDINGS Thyroid Scintigraphy. This lady has left retro auricular mass suspected of malignancy (papillary carcinoma) with unknown origin. Tc99m pertechnetate thyroid scan (Figure 1) showed increased tracer uptake by the nodule involving the entire left lobe (hot nodule), with faint or nearly no tracer uptake in the entire right lobe (suppression). Her thyroid function is subclinical hyperthyroidism.

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