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Chantal Daumerie Service Endocrinologie, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium

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Jacques Orgiazzi Hospices Civils de Lyon, Université Claude-Bernard Lyon 1, Lyon, France

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, imaging procedures may differ between places. The guidelines recommend thyroid ultrasound as part of the initial work-up, especially in the nodular thyroid gland. However, thyroid ultrasound examination performed by an experienced radiologist using a high

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C. Mari Aparici Nuclear Medicine, Radiology Department, University of California San Francisco, UCSF
Nuclear Medicine, Radiology Department, San Francisco VA Medical Center, San Francisco, Calif., USA

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T. Liu Nuclear Medicine, Radiology Department, University of California San Francisco, UCSF

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thyroid gland. Sov Med 1986;11:119. 3563666 3 Damle N, Kumar P, Maharjan S, Mathur S, Bal C: Inguinal node metastasis from follicular thyroid cancer. Indian J Endocrinol Metab 2013;17:353-354. 10.4103/2230-8210.109675 23776922 4 Roth LM

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Shakeel Kautbally Divisions of Endocrinology and Nutrition, Université Catholique de Louvain, Brussels, Belgium

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Orsalia Alexopoulou Divisions of Endocrinology and Nutrition, Université Catholique de Louvain, Brussels, Belgium

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Chantal Daumerie Divisions of Endocrinology and Nutrition, Université Catholique de Louvain, Brussels, Belgium

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François Jamar Divisions of Nuclear Medicine, Université Catholique de Louvain, Brussels, Belgium

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Michel Mourad Divisions of Endocrine Surgery, St. Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium

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Dominique Maiter Divisions of Endocrinology and Nutrition, Université Catholique de Louvain, Brussels, Belgium

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agreement between the patient and the referring physician. Forty patients received a fixed low-to-medium dose of 131 I which was roughly individualized only on the basis of thyroid gland size estimation (which was <30 ml in most of these patients). The

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Liyuan Liu Department of Endocrinology, Peking University First Hospital, Beijing, People’s Republic of China

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Yang Yu Department of Endocrinology, Peking University First Hospital, Beijing, People’s Republic of China

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Lei Chen Department of Ultrasound, Peking University First Hospital, Beijing, People’s Republic of China

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Yang Zhang Department of Endocrinology, Peking University First Hospital, Beijing, People’s Republic of China

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Guizhi Lu Department of Endocrinology, Peking University First Hospital, Beijing, People’s Republic of China

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Ying Gao Department of Endocrinology, Peking University First Hospital, Beijing, People’s Republic of China

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Junqing Zhang Department of Endocrinology, Peking University First Hospital, Beijing, People’s Republic of China

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from the thyroid gland and is often complicated with HT. The main clinical manifestation of PTL is a rapidly growing neck mass that may cause compressive symptoms such as dysphagia, dyspnoea, and hoarseness ( 7 , 8 ). Thus, patients with PTL or IgG4 HT

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Daniela Cavaco Department of Endocrinology, Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE, Lisbon, Portugal

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Ana Filipa Martins Department of Endocrinology and Diabetes, Hospital da Luz, Lisbon, Portugal

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Rafael Cabrera Department of Patology, Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE, Lisbon, Portugal

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Helena Vilar Department of Endocrinology, Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE, Lisbon, Portugal

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Valeriano Leite Department of Endocrinology, Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE, Lisbon, Portugal
Nova Medical School, Lisbon, Portugal

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, Med (Q 1 ;Q 3 ), min–máx ( n   = 26) 9.5 (0; 16.8), 0–45 anti-Tg, antithyroglobulin; Bi, bilateral; Uni, unilateral. Fine-needle aspiration biopsy (FNAB) of the thyroid gland or the cervical lymph nodes was performed in all

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Akshay Khatri Division of Infectious Diseases, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Manhasset, New York, USA

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Esti Charlap Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Great Neck, New York, USA

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Angela Kim Division of Infectious Diseases, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Manhasset, New York, USA

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(Table 1 ). A thyroid ultrasound revealed a heterogenous thyroid gland (right lobe: 4.3 × 2.3 × 1.6 cm; left lobe 4.3 × 1.9 × 1.4 cm) with bilateral patchy ill-defined hypoechoic areas, suggestive of subacute thyroiditis. No cervical lymphadenopathy was

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Mario Monaco Istituto Nazionale per lo Studio e la Cura dei Tumori ‘Fondazione Giovanni Pascale', IRCCS, Italy

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Gennaro Chiappetta Istituto Nazionale per lo Studio e la Cura dei Tumori ‘Fondazione Giovanni Pascale', IRCCS, Italy

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Concetta Aiello Istituto Nazionale per lo Studio e la Cura dei Tumori ‘Fondazione Giovanni Pascale', IRCCS, Italy

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Antonella Federico Istituto per l'Endocrinologia e l'Oncologia Sperimentale (IEOS), Consiglio Nazionale delle Ricerche (CNR), c/o Dipartimento di Medicina Molecolare e Biotecnologie Mediche (DMMBM), Università degli Studi di Napoli ‘Federico II', Naples, Italy

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Romina Sepe Istituto per l'Endocrinologia e l'Oncologia Sperimentale (IEOS), Consiglio Nazionale delle Ricerche (CNR), c/o Dipartimento di Medicina Molecolare e Biotecnologie Mediche (DMMBM), Università degli Studi di Napoli ‘Federico II', Naples, Italy

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Daniela Russo Istituto Nazionale per lo Studio e la Cura dei Tumori ‘Fondazione Giovanni Pascale', IRCCS, Italy

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Alfredo Fusco Istituto per l'Endocrinologia e l'Oncologia Sperimentale (IEOS), Consiglio Nazionale delle Ricerche (CNR), c/o Dipartimento di Medicina Molecolare e Biotecnologie Mediche (DMMBM), Università degli Studi di Napoli ‘Federico II', Naples, Italy
Instituto Nacional de Câncer - INCA, Rio de Janeiro, Brazil

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Pierlorenzo Pallante Istituto per l'Endocrinologia e l'Oncologia Sperimentale (IEOS), Consiglio Nazionale delle Ricerche (CNR), c/o Dipartimento di Medicina Molecolare e Biotecnologie Mediche (DMMBM), Università degli Studi di Napoli ‘Federico II', Naples, Italy

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thyroid gland is an unusual and relatively rare type of differentiated thyroid cancer. Hürthle cell cancer accounts for only about 3-10% of all differentiated thyroid cancers and has the highest incidence of metastasis among the differentiated thyroid

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Christophe Ghys Department of Endocrinology, Universitair Ziekenhuis Brussel, Belgium

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Michel Depierreux Departments of Pathology, Brussels, Belgium

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Elçin Ozalp Departments of Nuclear Medicine, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium

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Brigitte Velkeniers Department of Endocrinology, Universitair Ziekenhuis Brussel, Belgium

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, enlarged connective tissue, orbital fat, and extraocular muscle enlargement. The infraorbital optic nerve is enlarged bilaterally. Inflammatory lesions are also seen in the maxillary sinus and in ethmoidal cells. The thyroid gland was enlarged

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Benjamin Lallemant Departments of Head and Neck Surgery, University Hospital of Nîmes, Nîmes
University of Montpellier I, Sud de France, Montpellier, France

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Guillaume Chambon Departments of Head and Neck Surgery, University Hospital of Nîmes, Nîmes

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Camille Galy-Bernadoy Departments of Head and Neck Surgery, University Hospital of Nîmes, Nîmes
University of Montpellier I, Sud de France, Montpellier, France

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Héliette Chapuis Departments of Pathology, University Hospital of Nîmes, Nîmes

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Anne-Marie Guedj Endocrinology, University Hospital of Nîmes, Nîmes

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Huy Trang Pham Departments of Head and Neck Surgery, University Hospital of Nîmes, Nîmes
University of Montpellier I, Sud de France, Montpellier, France

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Jean-Gabriel Lallemant Departments of Head and Neck Surgery, University Hospital of Nîmes, Nîmes
University of Montpellier I, Sud de France, Montpellier, France

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Damien Rupp Departments of Head and Neck Surgery, University Hospital of Nîmes, Nîmes
University of Montpellier I, Sud de France, Montpellier, France

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complications, we observed a single case of internal jugular vein injury (ipsilateral to the axilla incision) by the robotic instruments that occurred during the console time, whilst removing the thyroid gland. A conversion to an open neck approach was necessary

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Shirley Langham Departments of Endocrinology, Great Ormond Street Hospital, Hospital for Children

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Peter Hindmarsh Developmental Endocrinology Research Group, Institute of Child Health, University College London, London, UK

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Steven Krywawych Departments of Chemical Pathology, Great Ormond Street Hospital, Hospital for Children

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Catherine Peters Departments of Endocrinology, Great Ormond Street Hospital, Hospital for Children
Developmental Endocrinology Research Group, Institute of Child Health, University College London, London, UK

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which the thyroid gland has either failed to develop (agenesis or dysgenesis) or there is a defect in thyroid hormonogenesis (dyshormonogenesis). In the neonatal stage and early childhood years, levothyroxine is essential for normal brain development [ 5

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