A 38-year-old woman presented to the ear, nose, and throat clinic for consultation regarding recently diagnosed papillary thyroid carcinoma (PTC). Ultrasonography initially revealed a 7-mm nodule in the right lobe of the thyroid gland. The findings of fine-needle aspiration and cytologic examination of the nodule were consistent with PTC. At the time of consultation, the patient denied dysphagia, dysphonia, pain, or swelling. Physical examination revealed a thyroid gland that was mildly enlarged on the right side, without palpable lymphadenopathy. Fiberoptic laryngoscopy demonstrated symmetrically mobile vocal cords and otherwise normal findings. The patient consented to a total thyroidectomy.
Karajgikar J, Goodman J, Tabbarah A, Frake P, Easley S, Sadeghi N. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2011;137(10):1047. doi:10.1001/archoto.2011.162-a