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Picture of the Month
Yann-Jinn Lee, MD;
Hsi-Che Liu, MD;
Hung-Chang Lee, MD;
Chi-Yuan Tzen, MD;
Chi-Yu Huang, MD;
Tsen-Long Yang, MD
From the Departments of Pediatrics (Drs Y.-J. Lee, H.-C. Liu, H.-C.
Lee, and C.-Y. Huang), Pathology (Dr C.-Y. Tzen), Medical Research (Dr Y.-J.
Lee), and Surgery (Dr T.-L. Yang), Mackay Memorial Hospital, and the Department
of Pediatrics (Drs Y.-J. Lee and H.-C. Lee), Taipei Medical University, Taipei,
Taiwan.
Arch Pediatr Adolesc Med. 2001;155:845-846.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 10-YEAR-OLD GIRL underwent reduction cheiloplasty and excision of
tongue nodules. The development of progressively patulous lips and thickening
of the tongue began at age 6 years. Following surgery, a right neck mass was
discovered. Thyroid scan revealed an enlarged gland with a cold area in the
upper two thirds of the right lobe. A right thyroidectomy was performed. Her
medical history included abdominal distension and the onset of severe constipation
at age 4 years, which responded to medical treatment. On physical examination
thick lips and an enlarged, nodular tongue were present (Figure 1 and Figure 2).
A firm, visibly enlarged goiter was palpable in the left thyroid gland. An
ultrasound study demonstrated an enlarged left lobe of the thyroid with 2
hypoechoic nodules and bilateral, enlarged cervical lymph nodes. . . . [Full Text of this Article]
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