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<p>Thyroid gland shows nodular adenomatous hyperplasia. Nodules are variable in size and composed of small and large crowded follicles full of thick colloid and lined by mature epithelium. Sections from some of the nodules show compact microfollicles devoid of colloid and lined by cuboidal cells separated by delicate vascular stroma. In these follicles nuclei are vesicular and look active but no appreciable mitosis. Stroma shows mild fibrosis. No evidence of hyperfunction or malignancy.</p>
<p>Patient presented with neck swelling.</p>
<p>Total thyroidectomy specimen showing two lobes measure 7.5 x 4 x 3.5 cm and 3.5 x 3.5x 3.5 cm with isthmus 1.7 x 1 cm. Cut sections showing multiple soft nodules the largest measured 2 x 2 cm and the small measured 0.9 cm. Thyroid capsule is intact.</p>
<p><strong><em><u>Total thyroidectomy </u></em></strong></p><ul><li><strong>Nodular adenomatous hyperplasia. </strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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