Total Thyroidectomy surgery
Right nodule suggestive of papillary cancer.
- The right lobe measures 3.5x1.3x1.1cm
- The left lobe measures 4.2x0.8x1.4cm
Isthmus measures 2mm
- There is 1.0x0.9x0.7cm lobulated hypoechoic nodule in the anterior right mid pole, with punctate calcifications and vascularity.
- Remainder of the thyroid gland is homogeneous with no other focal lesion detected.
- There is a 7mm lymph node with a fatty hilum in the right parotid gland
- Remainder of the parotid and submandibular glands appear normal.
- There is a a right Level 2 lymph node with normal fatty hilum measuring 16x15x7mm.
- There is a tiny left Level 5a lymph node without fatty hilum measuring 6x5x2mm.
- There is a physiologic appearing left Level 1b lymph node with a fatty hilum measuring 11x7x5mm.
- There is a similar left Level 2 lymph node with a fatty hilum measuring 14x9x7mm.
- There is a small homogeneous left Level 2 lymph node meassuring 9x9x5mm.
Hilum is the point of the node where vessels enter. Homogenous means uniform appearing. The imaging study cannot determine the benign/ malignant nature of the node or the nodule, which has to be confirmed with an FNAC. The FNAC in your case describe a papillary carcinoma. While the biopsy report of the node is not available, papillary carcinomas usually involve lymphnodes and involvement should be suspected. It would be best to discuss the situation and the appropriate management plan with your treating doctor.
Hope this is helpful.
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