A Filipino female being treated as multinodular toxic goiter (based on elevation of FT4 and depression of TSH and multinodular goiter).
Underwent an operation – January 2017.
Multiple colloid adenomatous nodules and nodularly enlarged thyroid gland, bilateral
1-cm hard mass with ill-defined border, left lobe, dirty white on cut-section – papillary carcinoma
Intraoperative diagnosis: multiple colloid adenomatous goiter with papillary carcinoma on the left lobe.
Operation done: total thyroidectomy
Multinodular toxic goiter, multiple colloid adenomatous goiter and papillary thyroid carcinoma can be seen in a patient