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Clinical Problem Solving
May 2014

Thyroid Nodule

Author Affiliations
  • 1Loyola University Medical Center, Maywood, Illinois
JAMA Otolaryngol Head Neck Surg. 2014;140(5):469-470. doi:10.1001/jamaoto.2014.95

A man in his 60s with a history of hypertension, multinodular goiter, and colon cancer presented with a 5-month history of cough. After trials of antibiotics and inhaled steroids, the large goiter was suspected to be the cause of the cough. A 9-cm, left thyroid nodule was found, and the patient underwent left hemithyroidectomy. Because the patient presented from an outside hospital, it is not known if the nodule was previously sampled by fine-needle aspiration (FNA).

Gross examination of the pathologic specimen revealed a 275-g, 9.5 × 8.0 × 5.0-cm hemithyroidectomy specimen. The cut surfaces were yellowish tan and hemorrhagic, with a small amount of beefy red thyroid parenchyma. Approximately 50% of the mass consisted of soft, tan material in a cystic cavity.