Diagnostic and Therapeutic Management of a Painful Thyroid Mass with Discordant Thyrotropin and Thyroid Hormone Measurements: A Case Report

The Operating Room Global Journal · Volume 2 · Issue 3 · September 2026
Case Report · Thyroid Surgery · Resource-Limited Setting

Diagnostic and Therapeutic Management of a Painful Thyroid Mass with Discordant Thyrotropin and Thyroid Hormone Measurements: A Case Report

Peter Mattew George1,2,3,4,6*, Arda Işık5
JournalThe Operating Room Global Journal
Volume / IssueVolume 2 · Issue 3
Article TypeCase Report
Available Online29 September 2026
Article DOI10.64573/torgj2609002
Author & Affiliation

Authors

Peter Mattew George1,2,3,4,6*, Arda Işık5

1 European Union of Medical Specialists, Brussels, Belgium
2 School of Health and Medical Sciences, Kesmonds International University, Yaoundé, Cameroon
3 Department of Surgery, School of Medicine, Texila American University, Georgetown, Guyana
4 Department of Surgery, Hospital Protestant de Ngaoubela, Adamawa Region, Cameroon
5 School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
6 The Operating Room Global (TORG)

Corresponding Author: Dr. Peter Mattew George · [email protected]

Abstract

Case Summary

Background

Thyroid nodules presenting with elevated circulating thyroid hormones but a non-suppressed thyrotropin (TSH) pose a diagnostic and therapeutic challenge, particularly where free-hormone assays, ultrasonography, scintigraphy, cytology, and histopathology are unavailable.

Case Presentation

A 30-year-old woman presented with a painful, progressive left neck mass of one year’s duration. She was clinically euthyroid. Total triiodothyronine was 4.46 nmol/L and total thyroxine 189.55 nmol/L, with a non-suppressed TSH of 0.39 mIU/L. Mild leukopenia was also noted. Ultrasonography, fine-needle aspiration, scintigraphy, free-hormone assays, and histopathology were unavailable at the treating facility. Following multidisciplinary discussion, left hemithyroidectomy was performed without preoperative antithyroid drugs. The recurrent laryngeal nerve and parathyroid glands were preserved, estimated blood loss was approximately 35 mL, and there was no perioperative thyroid crisis, vocal change, or clinical hypocalcemia. Short-term follow-up showed wound healing and resolution of neck pain.

Conclusion

In this patient, clinical euthyroidism and a non-suppressed TSH, together with baseline leukopenia, supported withholding thionamides and proceeding to hemithyroidectomy for a symptomatic mass. The observations are specific to the circumstances described and do not constitute a validated general management algorithm. Lack of imaging, cytology, histopathology, postoperative thyroid function tests, and longer-term biochemical follow-up are important limitations.

Keywords: Thyroid Nodule · Hemithyroidectomy · Discordant Thyroid Function Tests · Euthyroid Hyperthyroxinemia · Resource-Limited Setting · Case Report

Clinical Presentation

Case at a Glance

30 yearsPatient age
4.5 × 3.5 cmApproximate clinical size of the left thyroid mass
TSH 0.39mIU/L · within local reference range and not suppressed
~35 mLEstimated intraoperative blood loss
Clinical context: The patient was clinically euthyroid despite elevated total T3 and T4. The cause of the discordant biochemical pattern was not established because advanced thyroid testing and imaging were unavailable.
Diagnostic Assessment

Thyroid Function & Available Investigations

4.46Total T3 · nmol/L · elevated
189.55Total T4 · nmol/L · elevated
3.91 × 10⁹/LWhite-cell count · mild leukopenia
334 × 10⁹/LPlatelet count · above local reference interval
Investigations unavailable: Free T3/free T4, thyroxine-binding globulin, thyroid autoantibodies, interference studies, thyroid ultrasonography, fine-needle aspiration cytology, radioisotope scintigraphy, and histopathology were not obtained. Malignancy therefore could not be excluded and the biochemical discordance remained unexplained.
Management & Outcome

Clinical Decision-Making Pathway

The management pathway reflected the circumstances of this individual patient in a resource-limited hospital and was not presented as a validated or general clinical algorithm.

Presentation

Painful, progressively enlarging left thyroid mass with no overt clinical features of thyrotoxicosis.

Preoperative Judgment

Thionamides were withheld because the patient was clinically euthyroid, TSH was non-suppressed, and baseline leukopenia was present.

Intervention

Left hemithyroidectomy under general anaesthesia with preservation of the recurrent laryngeal nerve and parathyroid glands.

Short-Term Outcome

No thyroid crisis, normal voice, no clinical hypocalcemia, wound healing, and resolution of neck pain.

Important limitation: Histopathology, postoperative thyroid function testing, and longer-term biochemical follow-up were not obtained. The report therefore makes no claim of biochemical cure or exclusion of later hypothyroidism or recurrent thyrotoxicosis.
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Cite This Article

Citation Generator

George PM, Işık A. Diagnostic and therapeutic management of a painful thyroid mass with discordant thyrotropin and thyroid hormone measurements: a case report. The Operating Room Global Journal (TORGJ). 2026 Sep 29;2(3). https://doi.org/10.64573/torgj2609002
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Publication Information

Article Details

Article Type

Case Report

Clinical case report describing the diagnostic and therapeutic management of a painful thyroid mass with discordant thyroid function tests.

Article History

Editorial Timeline

Received 29 August 2026
Accepted 19 September 2026
Available Online 29 September 2026

Corresponding Author

Dr. Peter Mattew George

[email protected]

Open Access

CC BY 4.0

Creative Commons Attribution 4.0 International licence.

Declarations

Conflict & Funding

The authors declared no competing interests. No specific grant was received from public, commercial, or not-for-profit funding agencies.

Journal Record

Volume 2 · Issue 3

September 2026 · ISSN 3105-3262
DOI: 10.64573/torgj2609002

Patient Consent

Written Informed Consent

Written informed consent was obtained for publication of the case report and anonymized laboratory data. Identifying details were omitted.

Ethical Review

Review Exemption

The Institutional Ethics and Review Board of Hospital Protestant de Ngaoubela, Cameroon, exempted formal review because the report described anonymized standard care without experimental intervention.

AI Use Declaration

Language & Formatting Only

AI-assisted tools were used only for language editing and formatting. Clinical data, interpretation, and final content were reviewed and approved by the authors; no AI tool was used for medical decision-making.

Reporting & Research Integrity

Case Report Standards

The manuscript was checked against the CARE case-report framework and includes patient information, clinical findings, a timeline, diagnostic assessment, intervention, follow-up and outcomes, patient perspective, informed consent, discussion, and explicit limitations.

Interpretive caution: The absence of ultrasonography, cytology, scintigraphy, histopathology, advanced biochemical testing, postoperative thyroid function tests, and long-term follow-up prevents definitive classification of the thyroid nodule or the cause of the discordant thyroid function tests.
Contributor Roles

Authors’ Contributions

Peter Mattew George: Conceptualization, clinical care, data collection, and drafting of the manuscript.

Arda Işık: Supervision and critical revision of the manuscript.

Both authors approved the final version and agreed to be accountable for all aspects of the work.