A 33-year-old woman with a history of therapeutic neck radiation in childhood presents with a painless thyroid nodule. Vital signs are stable: BP 118/76, HR 82, RR 16, Temp 37°C, SpO2 98%. TSH is normal at 1.2 mIU/L. Fine needle aspiration cytology demonstrates cells with optically empty nuclei, nuclear grooves, and psammoma bodies. There is no cervical lymphadenopathy. What is the most likely diagnosis?
- A)Anaplastic thyroid carcinoma
- B)Medullary thyroid carcinoma
- C)Follicular thyroid carcinoma
- D)Hashimoto thyroiditis
- E)Papillary thyroid carcinomaGABARITO
Explicação
Papillary thyroid carcinoma is the most common thyroid malignancy and is associated with childhood radiation exposure. Psammoma bodies and orphan Annie eye nuclei are classic. Ver explicação completa e trilha adaptativa →