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A 72-year-old woman with a prominent asymmetric goiter presents to her physician complaining of recent onset of hoarseness and neck pain. Received for intraoperative consultation is a “midline neck mass probably thyroid” measuring 6.0 cm x 4.0 cm x 5.0 cm with attached skeletal muscle. Noted on the cut surface was a fleshy tan mass with indistinct borders, firmly attached to muscle and containing zones of necrosis.
The master list with the correct answer
• Malignant lymphoma
• Papillary carcinoma of thyroid
• Riedel thyroiditis
• Undifferentiated (anaplastic) carcinoma of thyroid
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