Papillary thyroid cancer echocardiography or ultrasound: Difference between revisions

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{{Papillary thyroid cancer}}
{{Papillary thyroid cancer}}
{{CMG}}; {{AE}} {{Ammu}}
{{CMG}}; {{AE}} {{Sahar}} {{Ammu}}
==Overview==
==Overview==
Neck [[ultrasound]] may be performed to detect papillary thyroid cancer.  [[Ultrasound imaging]] findings suggestive of [[malignant]] [[thyroid nodule]] include [[microcalcification]], peripheral and coarse [[calcification]], [[solid]], hypoechoic [[nodule]], locally invaded [[nodule]], and presence of posterior acoustic shadowing.
==Ultrasound==
*[[Ultrasound imaging]] is useful in the [[diagnosis]] and management of [[thyroid cancer]]. It is used for:<ref name="CoquiaChu2014">{{cite journal|last1=Coquia|first1=Stephanie F.|last2=Chu|first2=Linda C.|last3=Hamper|first3=Ulrike M.|title=The Role of Sonography in Thyroid Cancer|journal=Radiologic Clinics of North America|volume=52|issue=6|year=2014|pages=1283–1294|issn=00338389|doi=10.1016/j.rcl.2014.07.007}}</ref><ref name="Stulak2006">{{cite journal|last1=Stulak|first1=John M.|title=Value of Preoperative Ultrasonography in the Surgical Management of Initial and Reoperative Papillary Thyroid Cancer|journal=Archives of Surgery|volume=141|issue=5|year=2006|pages=489|issn=0004-0010|doi=10.1001/archsurg.141.5.489}}</ref>
**Evaluation of [[thyroid nodule]] characteristics
**Determination of [[nodule]] location during [[fine needle aspiration]] study
**Assessment of adjacent lymph node for the purpose of staging the cancer
**Post-surgical surveillance for early detection of tumor recurrence and/or nodal [[metastatic]] [[disease]]
*In summary, [[ultrasound imaging]] findings suggestive of [[malignant]] [[thyroid nodule]] include:
**Microcalcification
**Peripheral, coarse [[calcification]]
**Solid, hypoechoic [[nodule]]
**Locally invaded [[nodule]] (more commonly seen in [[anaplastic thyroid cancer]] and primary [[thyroid]] [[lymphoma]])
**High anteroposterior/width ratio
**Irregular nodular margin
**Adjacent suspicious [[lymph node]] with a size greater than 2 cm
**Presence of posterior acoustic shadowing
*Additionally, [[ultrasound imaging]] has been observed to be useful in the [[diagnosis]] of non-palpable [[lymph node]] [[metastasis]] when used preoperatively.
*Key [[ultrasound]] findings in papillary thyroid cancer include:
**Hypoechoic [[nodule]] in the majority of cases
**Microclacifications that are seen as tiny punctate echogenic foci within the [[nodule]] (most common finding)
**Posterior acoustic shadowing from the edges of the [[nodule]]
'''Ultrasound examples of papillary thyroid cancer'''
[[File:Papillary thyroid cancer ultrasound 06.jpeg|thumb|center|Papillary thyroid cancer ultrasound<ref name="radio"> Image courtesy of  Dr Garth Kruger. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/papillary-thyroid-cancer ‘’here’’].[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]]
[[File:Papillary thyroid cancer ultrasound 2.jpeg|thumb|center|Papillary thyroid cancer ultrasound<ref name="radio"> Image courtesy of  Dr Garth Kruger. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/papillary-thyroid-cancer ‘’here’’].[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]]
[[File:Papillary thyroid cancer ultrasound.jpg|thumb|center|Papillary thyroid cancer ultrasound<ref name="radio"> Image courtesy of  Dr Garth Kruger. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/papillary-thyroid-cancer ‘’here’’].[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]]
[[File:Papillary thyroid cancer Ultrasound 04.jpeg|thumb|center|Papillary thyroid cancer ultrasound<ref name="radio"> Image courtesy of  Dr Garth Kruger. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/papillary-thyroid-cancer ‘’here’’].[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]]
[[File:Papillary thyroid cancer ultrasound 3.jpeg|thumb|center|Papillary thyroid cancer ultrasound<ref name="radio"> Image courtesy of  Dr Garth Kruger. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/papillary-thyroid-cancer ‘’here’’].[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]]
[[File:Papillary thyroid cancer ultrasound 05.jpeg|thumb|center|Papillary thyroid cancer ultrasound<ref name="radio"> Image courtesy of  Dr Garth Kruger. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/papillary-thyroid-cancer ‘’here’’].[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]]


==Key Echocardiography/Ultrasound Findings in (Disease Name)==
The ultrasound is a useful test to distinguish solid from cystic lesions and to identify calcifications.<ref>{{cite news|url=http://findarticles.com/p/articles/mi_qa3725/is_200607/ai_n16598095/|title=Papillary Thyroid Carcinoma: An Overview|date=|accessdate= 2010-07-15 | work=Archives of Pathology & Laboratory Medicine | year=2006}}</ref> The thyroid ultrasound is also very effective to discover microcarcinomas, which refer to very small carcinomas (<1&nbsp;cm).
==Echocardiography/Ultrasound Examples of (Disease Name)==
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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Latest revision as of 23:34, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2] Ammu Susheela, M.D. [3]

Overview

Neck ultrasound may be performed to detect papillary thyroid cancer. Ultrasound imaging findings suggestive of malignant thyroid nodule include microcalcification, peripheral and coarse calcification, solid, hypoechoic nodule, locally invaded nodule, and presence of posterior acoustic shadowing.

Ultrasound

Ultrasound examples of papillary thyroid cancer

Papillary thyroid cancer ultrasound[3]
Papillary thyroid cancer ultrasound[3]
Papillary thyroid cancer ultrasound[3]
Papillary thyroid cancer ultrasound[3]
Papillary thyroid cancer ultrasound[3]
Papillary thyroid cancer ultrasound[3]

References

  1. Coquia, Stephanie F.; Chu, Linda C.; Hamper, Ulrike M. (2014). "The Role of Sonography in Thyroid Cancer". Radiologic Clinics of North America. 52 (6): 1283–1294. doi:10.1016/j.rcl.2014.07.007. ISSN 0033-8389.
  2. Stulak, John M. (2006). "Value of Preoperative Ultrasonography in the Surgical Management of Initial and Reoperative Papillary Thyroid Cancer". Archives of Surgery. 141 (5): 489. doi:10.1001/archsurg.141.5.489. ISSN 0004-0010.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 Image courtesy of Dr Garth Kruger. Radiopaedia (original file ‘’here’’.Creative Commons BY-SA-NC

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