Gandla Sowjanya, Halkud Rajshekar, Siddappa K T, Murthy Samskruthi P, Ray Sree Lekha, Greeshma P
Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka India.
Consultant Head and Neck Oncusurgery, Deenanath Mangeshkar Hospital, Pune, India.
Indian J Surg Oncol. 2020 Sep;11(Suppl 1):84-86. doi: 10.1007/s13193-020-01068-9. Epub 2020 May 10.
A 20-year-old female presented with a slowly growing solitary left thyroid nodule for 1 year. USG and CECT neck showed a 4 × 3 cm solid-cystic nodule in the left lobe of thyroid, with notable absence of the right lobe. FNAC from the nodule was Bethesda V. Operative findings confirmed right thyroid lobe agenesis with corresponding absence of right superior thyroid vessels. The right sided RLN, ESBLN, superior and inferior parathyroids, and inferior thyroid vasculature were in their anatomical positions. She underwent standard left hemithyroidectomy. Histopathological examination revealed follicular variant of papillary carcinoma.
一名20岁女性,左侧甲状腺单发结节缓慢生长1年。颈部超声和增强CT显示甲状腺左叶有一个4×3cm的实性-囊性结节,右侧叶明显缺如。结节的细针穿刺活检结果为贝塞斯达Ⅴ类。手术所见证实右侧甲状腺叶缺如,相应的右上甲状腺血管缺如。右侧喉返神经、食管旁淋巴结、上下甲状旁腺及甲状腺下血管均位于正常解剖位置。她接受了标准的左侧甲状腺叶切除术。组织病理学检查显示为乳头状癌的滤泡变体。