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Thyroid cancer - Radiofrequency - Puncture - Diagnosis - Treatment
A 20-year-old patient consulted for a thyroid nodule recently discovered on self-examination.
Ultrasound shows a heterogeneous highly hypoechoic nodule with lobulated outlines of non-downstream shape compatible with an EU TIRADS score of 5 suggestive of papillary carcinoma.
Elastography is pathological with an elasticity greater than 70 K Pa.
Also presence of adenopathies of metastatic aspect on the level of lymph node territories IV and VI.
Fine needle aspiration is in favor of a malignant lesion (Bethesda 6) with lymph node metastases.
Patient operated: total thyroidectomy with lymph node dissection.
Diagnosis: Papillary carcinoma with lymph node metastases.
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