A 15-year-old female presented with a palpable mass in her neck for the past two months. An enlarged thyroid gland with a nodule on the right thyroid lobe was observed in physical examination. The patient's medical history was unremarkable. Physical examination Weight: 64 kg Height: 155cm BMI: 6 kg/m2 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 with a hypoechoic halo. The patient underwent ultrasound-guided fine-needle aspiration followed by 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…
