Difference between revisions of "DZI20-240-Case-2"

Revision as of 12:44, January 20, 2021

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 |publish_timestamp=Choose_date 13:00
 |clinical_hx=60 year-old male with history of medullary thyroid cancer
-|case_diagnosis=A. THYROID, LEFT LOBECTOMY (20 g, by report):
+|case_diagnosis=Medullary thyroid carcinoma (6.2 cm by report), diffusely replacing thyroid parenchyma, with lymphovascular and perineural invasion; see synoptic report.
-Medullary thyroid carcinoma (5.5 cm, by report), diffusely replacing thyroid parenchyma, with lymphovascular invasion; see note and synoptic report.
-B. LYMPH NODE, LEFT LATERAL NECK CONTENTS, EXCISION:
-Metastatic medullary thyroid carcinoma in a matted mass of lymph nodes (8.5 cm by report), as well as in sixteen of sixteen lymph nodes (16/16), with extranodal extension and lymphovascular invasion; see note.
-C. THYROID, RIGHT LOBE, COMPLETION THYROIDECTOMY (28 g, by report):
-Medullary thyroid carcinoma (6.2 cm by report), diffusely replacing thyroid parenchyma, with lymphovascular and perineural invasion; see synoptic report.
 Metastatic medullary thyroid carcinoma in one of one lymph node (1/1), completely replacing lymph node parenchyma.
-D. LYMPH NODES, CENTRAL COMPARTMENT, EXCISION:
-Metastatic medullary thyroid carcinoma in a matted mass of lymph nodes (3.3 cm by report), as well as in six of six lymph nodes (6/6), with extranodal extension and lymphovascular invasion; see note.
-E. LYMPH NODES, RIGHT CERVICAL, EXCISION:
-Metastatic medullary thyroid carcinoma in a matted mass of lymph nodes (5.5 cm by report), as well as in fifteen of twenty-three lymph nodes (17/28), with extranodal extension and lymphovascular invasion; see note.
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