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<p><strong>Tumor Characteristics:</strong></p><ul><li><strong>Histologic Type:</strong> Papillary thyroid carcinoma, columnar cell variant.</li><li><strong>Tumor Size:</strong> 3.0 x 2.0 x 1.5 cm (greatest dimension: 3.0 cm).</li><li><strong>Tumor Focality:</strong> (Unifocal).</li></ul><p><strong>Invasion and Margins:</strong></p><ul><li><strong>Extrathyroidal Extension (ETE):</strong> Present. Tumor infiltrates through the thyroid capsule into the perithyroidal soft tissue.</li><li><em>Note:</em> Strap muscles are explicitly free of tumor invasion.</li><li><strong>Lymphovascular Invasion (LVI):</strong> Present.</li><li><strong>Surgical Margins:</strong> Negative.</li></ul><p><strong>Lymph Nodes:</strong></p><ul><li><strong>Regional Lymph Nodes:</strong> No nodes submitted.</li></ul>
<p>Goiter.</p>
<p class="ql-align-justify">Total thyroidectomy specimen received as two separate lobes. The first lobe measures 4.5 × 2.5 × 1.5 cm showing a firm nodule measuring 3 × 2 × 1.5 cm, which exhibited a whitish cut section. The second lobe measured 3 × 2 × 1.5 cm and showed a fleshy cut surface.</p>
<p><strong><em><u>Total thyroidectomy:</u></em></strong></p><ul><li><strong>Papillary thyroid carcinoma, columnar cell variant. </strong></li><li><strong>Margins are free. </strong></li><li><strong>Stage pT2NxMx.</strong></li></ul>
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