PMC6116287_01
Thyroid radionuclide scans with technetium 99 m pertechnetate.
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Subsequent thyroid radionuclide scans with technetium 99 m pertechnetate showed hyperavid nodular foci in the lower pole of right lobe, middle portion of the right lobe and the isthmus (Figure 1).
Microscopic examination of the specimen after excisional biopsy of the right supra-clavicular mass.
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Excisional biopsy of the right supra-clavicular mass was done and showed a lymph node consistent with metastatic papillary carcinoma of thyroid (Figure 2).
Microscopic examination of the surgical specimen after total thyroidectomy.
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Microscopic examination of the surgical specimen revealed three foci of tumor - a 5.5-mm area in the lower portion of the right lobe with follicular variant of papillary microcarcinoma involving the thyroid capsule, a 1.4-mm area in the isthmus with circumscribed follicular variant of papillary microcarcinoma and a 0.5-mm area in mid portion of the right lobe with circumscribed follicular variant of papillary microcarcinoma (Figure 3).