A 38-year-old woman presented with a 3-week history of a painless lump in her neck. She denied history of trauma, fever, radiation exposure, or a preceding upper respiratory tract infection. Her family history was significant in that her mother had benign nodular goiter. The patient was otherwise in good health. On palpation, the right lobe was enlarged and firm with minimal tenderness. Thyroid function was within normal limits. Thyroid ultrasound showed a 1.5 × 1.1-cm hypoechoic mass at the right lobe, with an irregular and poorly defined border. No cervical lymphadenopathy was detected. Fine-needle aspiration cytology was insufficient for diagnosis. Based on suspicious ultrasonographic characteristics, a right lobectomy was performed (Fig 1). Histopathologic examination showed a mixed inflammatory infiltrate with some multinucleate giant cells (Fig 2). She is euthyroid without recurrence after 2 years of follow-up.
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Published online: December 01, 2008
Accepted: September 15, 2008
All authors reported no biomedical financial interests or potential conflicts of interest.
© 2010 Mosby, Inc. Published by Elsevier Inc. All rights reserved.