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October 1989

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1989;115(10):1256-1259. doi:10.1001/archotol.1989.01860340110033

PATHOLOGIC QUIZ CASE 1  Yoav P. Talmi, MD; Rivkah Gal, MD; Yehuda Finkelstein, MD; Uzi Gafter, MD; Yuval Zohar, MD, Petah Tiqva, IsraelA 50-year-old man presented with a slowly enlarging right thyroid lobe mass, first noticed 1 year ago. The patient was known to be suffering from nephrotic syndrome and hypothyroidism diagnosed 5 years previously, and substitutional therapy with eltroxin, 150 μg/d, was started. The diagnosis of secondary amyloidosis was established at that time. On examination a 3 × 3-cm elastic, nontender nodule was palpated in the right thyroid lobe. Technetium Tc 99m scan demonstrated a right lobe cold nodule with decreased uptake in the left lobe. Fine-needle aspiration results were nonspecific. Results of thyroid function tests were at the lower normal limits. The patient underwent right thyroid lobectomy and isthmectomy. The postoperative course was uneventful and he was discharged. Histologic sections of the specimen are seen in Figs

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