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1328 Pathology

A thyroid biopsy obtained from a 29-year-old woman complains of nervousness and muscle weakness of 6 months in duration. She is intolerant of heat and sweats excessively. She has lost 9 kg (20 lb) pounds over past 6 months, despite increased caloric intake. She frequently finds her hea racing and can feel it pounding in her chest. She also states that she has missed several menstrual periods over the past few months. Physical examination reveals warm and moist skin and bulging eyes (exophthalmos). Which of the following best describes the pathologic findings?

AAtrophy and fibrosis
BDense lymphoid infiltrate with germinal centers
CFollicular hyperplasia with scalloping of colloid
DNecrotizing parenchymal granulomas
Pathology
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