Sandbox:DDx HEENT: Difference between revisions

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* 30-50 yo Caucasian women  
40-60 yo women
* Ionizing radiation exposure
 
* Positive family history
 
* Asymptomatic painless neck nodule
Painless thyroid nodule
 




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* Solitary mass with irregular borders and increased vascularity on U/S
* Solitary mass with irregular borders and increased vascularity on U/S
* Located at the subcapsular region
* Lytic bone lesions or multiple lung masses due to hematogenous spread
* Small punctate regions of echogenicity due to calcification
* Rare lymph node metastases  
* Lymph node metastases present


* RAS oncogene activation
* RAS oncogene activation
* PAX8-PPAR gamma 1 genes rearrangement
* PAX8-PPAR gamma 1 genes rearrangement

Revision as of 16:05, 1 November 2015

40-60 yo women


Painless thyroid nodule


  • Elevated thyroglobulin level
  • HBME-1 stain +ve and ATP5E stain +ve


  • Orphan Annie eye and Psammoma bodies
  • Unencapsulated multifocal tumor lesions
  • Positive lymphatic spread


  • Solitary mass with irregular borders and increased vascularity on U/S
  • Lytic bone lesions or multiple lung masses due to hematogenous spread
  • Rare lymph node metastases
  • RAS oncogene activation
  • PAX8-PPAR gamma 1 genes rearrangement