Painless Anterior Neck Lump in Medicine / Internal Medicine — 42yo Woman | Endocrinology | SMLE Q#11620
SMLE Question #11620
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 42-year-old woman presents with a painless anterior neck lump for 3 months. Examination shows a firm 1.5-cm nodule in the right thyroid lobe. Thyroid ultrasound demonstrates a solid hypoechoic nodule with irregular margins and punctate echogenic foci. Fine-needle aspiration shows enlarged overlapping nuclei with nuclear grooves and occasional intranuclear inclusions. Which type of thyroid cancer is most consistent with these findings?
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