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CLINICAL IMAGE
Year : 2019  |  Volume : 150  |  Issue : 4  |  Page : 419

An egg in the neck: A rare case of massively calcified thyroid nodule


Department of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi 110 029, India

Date of Submission22-Oct-2018
Date of Web Publication29-Nov-2019

Correspondence Address:
Rajesh Khadgawat
Department of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_1943_18

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How to cite this article:
Goyal A, Khadgawat R. An egg in the neck: A rare case of massively calcified thyroid nodule. Indian J Med Res 2019;150:419

How to cite this URL:
Goyal A, Khadgawat R. An egg in the neck: A rare case of massively calcified thyroid nodule. Indian J Med Res [serial online] 2019 [cited 2019 Dec 7];150:419. Available from: http://www.ijmr.org.in/text.asp?2019/150/4/419/272093

†Patient's consent obtained to publish clinical information and images


A 52 yr old female presented to the department of Endocrinology, All India Institute of Medical Sciences (AIIMS), New Delhi, India, in March 2018 with the complaints of slow-growing, painless, left-sided neck swelling for the last six years. The swelling moved with deglutition and was not associated with any compressive symptoms or recent increase in size. She was detected to have primary hypothyroidism two years back and was euthyroid on levothyroxine supplementation (100 μg/day) at the time of presentation. On examination, a bony hard swelling of 8 cm × 6 cm size was palpated in the left side of the neck, which moved with deglutition and displaced the trachea to the right. The lower border of the swelling could not be palpated. Pemberton's sign was negative, and there were no palpable cervical nodes. X-ray [Figure 1] and computed tomography [Figure 2] of the neck revealed a large calcified thyroid mass displacing the trachea towards the right. On performing fine-needle aspiration cytology, chalky white material was aspirated, which revealed only calcium deposits and no normal/abnormal thyroid tissue on cytopathology. Keeping in mind the large size and non-contributory cytology result, the patient was counselled on the need for surgery; however, she refused any surgical intervention and opted for close follow up.
Figure 1: X-ray of the neck (anteroposterior view) showing a large calcified mass (arrow) displacing the trachea (T) towards the right side.

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Figure 2: Computed tomography of the neck (sagittal view) showing the large calcified mass (arrow).

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Acknowledgment: Authors acknowledge Dr Sandeep Mathur, department of Pathology and Dr Ashu Seith Bhalla, department of Radiodiagnosis, AIIMS, New Delhi, for their help in managing the patient.

Conflicts of Interest: None.




    Figures

  [Figure 1], [Figure 2]



 

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