A 15-year-old female presented with a noticeable mass in her neck since two months. An enlarged thyroid gland with a palpable nodule on the right thyroid lobe was observed during physical examination. The medical history was unremarkable. Physical examination Weight: 64 kg Height: 155 cm BMI: 6 kg/m 2 BP: 110/80 mmHg No cervical lymphadenopathy was observed.
Thyroid Function test: TSH: 1.0 mcIU/mL Free thyroxin: 1.2 ng/dL Thyroid peroxidase antibody: Negative Thyroglobulin antibody: Negative Thyroid ultrasonography Right lobe: 33×21×50 mm Left lobe: 14×11×41 mm The solid nodule covering the right lobe was 31×19×38 mm and had a hypoechoic halo. The patient underwent ultrasound-guided fine-needle aspiration and then underwent total thyroidectomy. On the second day after the operation, the patient developed upper eyelid ptosis and right-sided myosis. No other symptoms of bitonal voice or…
