Clinical Case Database / Category: Case Based Discussion
Management of a thyroid nodule
Sandeep Mistry MBChB BSc(hons)
Foundation Years Journal, volume 2, issue 7, p.313 (123Doc Education, London, September 2008)
A 56-year-old non-smoker presented with a 2-year history of a swelling in the front of the lower part of her neck. The swelling was of an insidious onset with no significant increase in size and there was no associated discomfort reported. However, occasional pressure symptoms were noted as well as a â€œfeeling of somethingâ€ in her throat. There had been no weight loss recorded. On examination, she was found to have a 4Ã—3 cm swelling which seemed to be localised to the isthmus and adjacent part of the left thyroid lobe. This classically moved upwards upon swallowing. There was no associated lymphadenopathy. Initial clinical evaluation suggested the swelling to be a thyroid nodule.
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Sandeep Mistry MBChB BSc(hons) (Corresponding author)
Foundation Year 2 in Otolaryngology
North Manchester General Hospital
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