Follicular thyroid cancer echocardiography or ultrasound: Difference between revisions

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==Ultrasound==
==Ultrasound==
===Key Ultrasound Findings in Thyroid Cancer===
===Key Ultrasound Findings in Thyroid Cancer===
* Large size, microcalcifications, and hypoechogenicity are suspicious feature
* Key ultrasound findings in thyroid cancer are:
* Lymphadenopathy is a suspicious feature
:* Large size, microcalcifications, and hypoechogenicity<ref name=Radiopaedia2015>{{cite web | title = Follicular thyroid cancer [Dr Matt A. Morgan and Dr Frank Gaillard].Radiopedia 2015| url = http://radiopaedia.org/articles/follicular-thyroid-cancer Accessed on October, 29 2015 }}</ref>
* Microcalcifications is the most specific finding associated with malignancy (~95%)
:* Lymphadenopathy
* Coarse calcifications ​can also be seen in malignant nodules
:* Microcalcifications- most specific finding associated with malignancy (~95%)
* Peripheral rim calcification can be seen in malignant nodules
:* Coarse calcifications  
* 25 %  of follicular and medullary cancer are isoechoic solid nodule.
:* Peripheral rim calcification  
* There is 5% chance of a hyperechoic nodule being malignant.
:* Isoechoic solid nodule
* Invasion of local structures favors anaplastic thyroid carcinoma and thyroid lymphoma
:* A nodule taller than it is wide  
* A nodule taller than it is wide is suspicious for malignancy.
:* Irregular margins  
* Irregular margins are suspicious for malignancy
* The lymph node findings are:
===Lymphnode===
:* Enlarged regional lymph nodes are suspicious for thyroid malignancy
* Enlarged regional lymph nodes are suspicious for thyroid malignancy
:* Microcalcifications in regional lymph nodes are highly suspicious
* Microcalcifications in regional lymph nodes are highly suspicious
:* Lymph nodes with cystic change are highly suspicious
* Lymph nodes with cystic change are highly suspicious
:* Loss of normal fatty hilum, irregular node appearance
* Loss of normal fatty hilum, irregular node appearance
:* Increased colour Doppler flow is suspicious
* Increased colour Doppler flow is suspicious
:* Low threshold criteria for lymph node biopsy
* Low threshold criteria for lymph node biopsy
:* Biopsy if suspicious features
* Biopsy if suspicious features
:* Consider biopsy if >8 mm
* Consider biopsy if >8 mm
===Sonographic Features Favouring a Malignant Nodule===
* Hypoechoic solid
* Presence of microcalcifications: almost always warrants a FNA
* Local invasion of surrounding structures
* Taller than it is wide
* Large size: the cut off is often taken as 10 mm to warrant a FNA
* Suspicious neck lymph nodes suggesting metastatic disease
* Intranodular blood flow
 
==Reference==
==Reference==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Hereditary cancers]]
[[Category:Hereditary cancers]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Endocrinology]]
[[Category:Surgery]]

Latest revision as of 23:28, 26 November 2017

Follicular thyroid cancer Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

Neck ultrasound may be performed to detect follicular thyroid cancer.

Ultrasound

Key Ultrasound Findings in Thyroid Cancer

  • Key ultrasound findings in thyroid cancer are:
  • Large size, microcalcifications, and hypoechogenicity[1]
  • Lymphadenopathy
  • Microcalcifications- most specific finding associated with malignancy (~95%)
  • Coarse calcifications
  • Peripheral rim calcification
  • Isoechoic solid nodule
  • A nodule taller than it is wide
  • Irregular margins
  • The lymph node findings are:
  • Enlarged regional lymph nodes are suspicious for thyroid malignancy
  • Microcalcifications in regional lymph nodes are highly suspicious
  • Lymph nodes with cystic change are highly suspicious
  • Loss of normal fatty hilum, irregular node appearance
  • Increased colour Doppler flow is suspicious
  • Low threshold criteria for lymph node biopsy
  • Biopsy if suspicious features
  • Consider biopsy if >8 mm

Reference

  1. Accessed on October, 29 2015 "Follicular thyroid cancer [Dr Matt A. Morgan and Dr Frank Gaillard].Radiopedia 2015" Check |url= value (help).