Abstract
A 61-year-old gentleman presented to us with a history of anterior neck swelling for 3 years which was slowly progressive initially but rapidly increased since 3 months. He also gave a history of diarrhea for 6 months with 3–7 episodes/day and secretory in nature. On examination he had 12 × 9.5 cm swelling in Lt lobe of thyroid which was multilobulated, firm, moving with deglutition, trachea deviated towards Rt side, left carotid bruit present, and Pemberton sign was positive. He also had multiple bilateral level II, III, IV deep cervical LN, largest 2 × 1 cm left level III LN. USG neck revealed large soft tissue mass of size 5.3 × 6.4 × 7.5 cm involving Lt lobe, isthmus, and Rt lobe with no e/o retrosternal extension along with b/l cervical L.N.(LT > RT). LEVEL 1B, 2, 3, 4, 5, 6, largest 2.3 cm. Guided FNAC from thyroid mass and left cervical lymph node was positive for medullary carcinoma with nodal metastasis. IDL: showed b/l vocal cords mobile. Investigations were as follows (Table 1):
Amit Agarwal is the lead author of this chapter.
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Agarwal, A., Fernando, R., Parameswaran, R., Mishra, A., Pradhan, R. (2023). Aggressive Sporadic Medullary Thyroid Cancer. In: Case Studies in Thyroid and Parathyroid Tumors. Springer, Singapore. https://doi.org/10.1007/978-981-99-0938-4_82
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DOI: https://doi.org/10.1007/978-981-99-0938-4_82
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