Follicular thyroid cancer echocardiography or ultrasound
Follicular thyroid cancer Microchapters |
Differentiating Follicular thyroid cancer from other Diseases |
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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