Patient Diagnosed with Acromegaly During an Evaluation for Interventional Treatment for Her Goiter.
The patient came for evaluation of her goiter but told me she was never diagnosed with acromegaly even though she had findings of widening shoe size in the last few years. She has a large nodular goiter that has grown in the last few years.
Picture of her goiter after her needle biopsy and collection of molecular markers.
Recent picture during the consultation
Picture from several years ago.
She had a IGF-1 of 680 ng/ml N< 317 This is a marker for growth hormone excess consistent with Acromegaly.
FNA found large amount of cyst fluid in the complex nodule.