Teenager was addressed to control thyroid ultrasound, in an extract from one of the Child Hospital of Moscow describes the node without any recommendation with regard to it, the description about it at the US is something like this - " on the border of the isthmus and the left lobe of the thyroid gland there is node, size of about 1 cm, with heterogeneous structure and with hyperechoic microlesions, with poorly blood flow... " . Teenager was never consulted with oncologist, by the words of accompanying person, because nobody told this ...
In this ultrasound on the border of the isthmus and the left lobe there is a node, size of about 1 cm, inhomogeneous hypo / iso echogenic structure with an unclear outline, with hyperechoic microlesions circumferentially arranged in a weird " papillary forms" or forms like cabbage, sometimes with a comet tail artifact. At DPD with richly blood flow and thick vascular pedicle.
Slightly higher on both sides there are increased in size packet lymph nodes up to 2 cm in length.
Suspecting cr, the patient is immediately directed to the oncologist with recommendation of biopsy.
" 49-years-old woman show 1,0-cm irregular, hypoechoic nodule with microcalcifications in the right thyroid gland. Initial cytologic result was adenomatous hyperplasia, surgical results confirmed papilary carcinoma"
" Thyroid nodules are less common among children than adults but are more likely to be malignant in children referred for evaluation of nodular thyroid disease (22-26% versus approximately 5% )"
The American Thyroid Association Guidelines Task Force on Pediatric
Assigned control ultrasound before starting chemotherapy.
On after-surgery ultrasound thyroid bed without pathological changes.
At the current US in projection of the right lobe of the thyroid bed medial to CCA visualized the lesion looks like a twine's ball, with alternating hyper- and hypoechoic layers and with blood flow at CFM.
At the left side there is a single enlarged LN near the CCA. Also there are several enlarged LN in the submandibular areas.
