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OCR: ionl A malignant thyroid tumour most com id lobe or presents as a solitary nodule in one thyr ishable in the isthmus, often firm and indisting ength of from a colloid nodule or adenoma. The swelling is history is variable - in some patients the cases first noticed by a relative, while in other the neck patients have been aware of the lump in emic for some years. There are usually no syst symptoms. Extrathyroid papillary carcinomas and ent with angioinvasive follicular carcinomas pre may be more rapidly growing large tumours the ridor, and associated with hoarseness, dysphagia, s dyspnoea. ondary Enlarged cervical lymph nodes due to se per cent of deposits are found in approximately fifty h less the cases of papillary carcinoma and mu often in follicular carcinomas