Poorly Cohesive Spindle-shaped Cells in Surgery — 32yo Man | General Surgery | SMLE Q#16630
SMLE Question #16630
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 32-year-old man has a slowly enlarging anterior neck mass and progressive dysphagia for 4 months. He has no hoarseness or weight loss. Neck ultrasound shows a 2 × 3 cm solid nodule in the right thyroid lobe without suspicious cervical lymph nodes. Fine-needle aspiration shows a hypercellular lesion with poorly cohesive spindle-shaped cells. What is the most likely diagnosis?
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