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CASE 1: FNA OF A LARGE GOITRE

CASE 1: FNA OF A LARGE GOITRE. Roberto Dina, MD Cytology Dept of Histopathology Hammersmith Hospital London (U.K.). CASE HISTORY. A 77 yr old Female with a history of long standing goitre Presents with a recently enlarged thyroid Smoker. Imaging.

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CASE 1: FNA OF A LARGE GOITRE

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  1. CASE 1: FNA OF A LARGE GOITRE Roberto Dina, MD Cytology Dept of Histopathology Hammersmith Hospital London (U.K.)

  2. CASE HISTORY • A 77 yr old Female with a history of long standing goitre • Presents with a recently enlarged thyroid • Smoker

  3. Imaging • Large heterogeneous mass within the neck consistent with the patients goitre. The trachea is markedly deviated to the right and narrowed in the coronal dimension to 6 mm. The goitre extends to the superior aspect of the sternum. Within the anterior segment of the LUL there is a spiculated 11 mm diameter nodule which appears to be cavitating anteriorly.

  4. Bronchoscopy • Bronchoscopy normal • Bronchial washing and brushing Negative for malignant cells

  5. FNA PERFORMED • 4 Passes (27 G needle) • Scanty Material

  6. Isolated atypical nuclei lymphocytes

  7. CYTOLOGY • Necrotic Background • Multinucleated Giant Cells • Histiocyte like cells • Atypical Cells • Aggregates of Lymphocytes

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