UNASSIGNED: Even though it is a rare event, most associations of @entity259 with @entity4941 described in the literature are related to its granulomatous form ( @entity8426 ). We present a @entity1 with subacute @entity1669 ( @entity1374 ) and @entity3557 that was first suspected in an initial ultrasound evaluation. A 30-year old female @entity1 who was referred to the emergency room due to @entity1378 symptoms was diagnosed with @entity1374 established by physical examination and laboratory findings. With the presence of a palpable painless @entity9384 an ultrasound was prescribed and the images revealed a suspicious @entity9384 , microcalcification focus in the heterogeneous thyroid parenquima and cervical @entity3329 . Fine needle aspiration biopsy was taken from this nodule; cytology was assessed for compatibility with @entity3557 . Postsurgical pathology evaluation showed a multicentric @entity1377 and @entity2617 . @entity4941 , regardless of type, may produce transitory ultrasound changes that obscure the coexistence of @entity1377 . Due to this, initial thyroid ultrasound evaluation should be delayed until clinical recovery. We recommended a thyroid ultrasound exam for initial evaluation of @entity1374 , particularly in @entity1 with palpable @entity9384 . Further cytological examination is recommended in cases presenting with suspect @entity9384 and/or non-nodular hypoechoic (> 1 cm) or heterogeneous areas with microcalcification focus.

XXXX associated to @entity259 : role of initial ultrasonography evaluation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3557 :: ('MESH:C536915', 'Disease') :: ['papillary thyroid carcinoma', 'papillary thyroid cancer'] @entity3329 :: ('MESH:D008206', 'Disease') :: ['lymphadenopathy'] @entity1377 :: ('MESH:D002291', 'Disease') :: ['papillary carcinoma'] @entity4941 :: ('MESH:D013968', 'Disease') :: ['subacute thyroiditis', 'Subacute thyroiditis'] @entity1669 :: ('MESH:D013967', 'Disease') :: ['lymphocytic thyroiditis'] @entity2617 :: ('MESH:D017254', 'Disease') :: ['lymphocytic infiltration'] @entity1378 :: ('MESH:D006980', 'Disease') :: ['hyperthyroidism'] @entity8426 :: ('MESH:D013966', 'Disease') :: ["Quervain's thyroiditis"] @entity259 :: ('MESH:D013964', 'Disease') :: ['thyroid carcinoma'] @entity9384 :: ('MESH:D016606', 'Disease') :: ['thyroid nodule'] @entity1374 :: ('MESH:D013959', 'Disease') :: ['painless thyroiditis']
@entity1374 :: (MESH:D013959,Disease) :: ['Painless thyroiditis']
