Zenker's diverticulum ultrasound: Difference between revisions
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{{Zenker's diverticulum}} | {{Zenker's diverticulum}} | ||
{{CMG}} {{AE}} | {{CMG}} {{AE}} {{Ajay}} | ||
==Overview== | ==Overview== | ||
The ultrasonographic findings of Zenker's | The [[Ultrasonography|ultrasonographic]] findings of [[Zenker's diverticulum]] (ZD) includes iso-echoic or hypo-echoic mass with [[internal]] or peripheral [[echogenic]] foci and a boundary hypo-echoic zone at the [[posterior]] portion of the [[thyroid gland]]. High-frequency [[Ultrasonic|USG]] identifies multi-layered appearance, continuous with the [[esophageal]] wall. Internal [[echogenic]] foci within [[Zenker's diverticulum|ZD]] were often misdiagnosed as punctuate micro-[[Calcification|calcifications]] associated with [[Papillary thyroid cancer|papillary cancer]]. Boundary hypo-echoic zone or [[echogenic]] line on a [[sonogram]] with a connection to the [[esophagus]] is associated with [[Zenker's diverticulum|ZD]]. [[Thyroid]] [[Ultrasound|USG]] is done to avoid unnecessary [[aspiration]] as it is often misdiagnosed for ZD as a [[Thyroid nodule|thyroid nodule.]] | ||
==Ultrasound== | ==Ultrasound== | ||
* The ultrasonographic findings of ZD includes<ref name="urlSonographic Findings of Zenker Diverticula - Kwak - 2006 - Journal of Ultrasound in Medicine - Wiley Online Library">{{cite web |url=http://onlinelibrary.wiley.com/doi/10.7863/jum.2006.25.5.639/full |title=Sonographic Findings of Zenker Diverticula - Kwak - 2006 - Journal of Ultrasound in Medicine - Wiley Online Library |format= |work= |accessdate=}}</ref><ref name="urlNew sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/11856699 |title=New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlNew Sonographic Criteria for Recommending Fine-Needle Aspiration Biopsy of Nonpalpable Solid Nodules of the Thyroid : American Journal of Roentgenology : Vol. 178, No. 3 (AJR)">{{cite web |url=http://www.ajronline.org/doi/abs/10.2214/ajr.178.3.1780687 |title=New Sonographic Criteria for Recommending Fine-Needle Aspiration Biopsy of Nonpalpable Solid Nodules of the Thyroid : American Journal of Roentgenology : Vol. 178, No. 3 (AJR) |format= |work= |accessdate=}}</ref> | * The [[Ultrasonography|ultrasonographic]] findings of ZD includes<ref name="urlSonographic Findings of Zenker Diverticula - Kwak - 2006 - Journal of Ultrasound in Medicine - Wiley Online Library">{{cite web |url=http://onlinelibrary.wiley.com/doi/10.7863/jum.2006.25.5.639/full |title=Sonographic Findings of Zenker Diverticula - Kwak - 2006 - Journal of Ultrasound in Medicine - Wiley Online Library |format= |work= |accessdate=}}</ref><ref name="urlNew sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/11856699 |title=New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlNew Sonographic Criteria for Recommending Fine-Needle Aspiration Biopsy of Nonpalpable Solid Nodules of the Thyroid : American Journal of Roentgenology : Vol. 178, No. 3 (AJR)">{{cite web |url=http://www.ajronline.org/doi/abs/10.2214/ajr.178.3.1780687 |title=New Sonographic Criteria for Recommending Fine-Needle Aspiration Biopsy of Nonpalpable Solid Nodules of the Thyroid : American Journal of Roentgenology : Vol. 178, No. 3 (AJR) |format= |work= |accessdate=}}</ref> | ||
* Iso-echoic or hypo-echoic mass with internal or peripheral echogenic foci and a boundary hypo-echoic zone at the posterior portion of the thyroid gland. | * Iso-echoic or hypo-echoic mass with [[internal]] or [[Peripheral Edema|peripheral]] [[echogenic]] foci and a boundary hypo-echoic zone at the [[posterior]] portion of the [[thyroid gland]]. | ||
* High-frequency USG identifies multi-layered appearance, continuous with the esophageal wall. | * High-frequency [[Ultrasonography|USG]] identifies multi-layered appearance, continuous with the [[esophageal]] wall. | ||
* Internal echogenic foci within ZD were often misdiagnosed as punctuate micro-calcifications associated with papillary cancer. | * [[Internal]] [[echogenic]] foci within ZD were often misdiagnosed as punctuate micro-[[Calcification|calcifications]] associated with [[Papillary thyroid cancer|papillary cancer]]. | ||
* Boundary hypo-echoic zone or echogenic line on a sonogram with a connection to the esophagus is associated with ZD. | * Boundary hypo-echoic zone or [[echogenic]] line on a [[sonogram]] with a connection to the [[esophagus]] is associated with ZD. | ||
* Thyroid USG is done to avoid unnecessary aspiration as it is often misdiagnosed for ZD as a thyroid nodule. | * [[Thyroid]] [[Ultrasonography|USG]] is done to avoid unnecessary [[aspiration]] as it is often misdiagnosed for ZD as a [[thyroid nodule]]. | ||
==References== | ==References== | ||
Latest revision as of 02:11, 7 December 2017
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Zenker's diverticulum Microchapters |
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Zenker's diverticulum ultrasound On the Web |
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Risk calculators and risk factors for Zenker's diverticulum ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD[2]]
Overview
The ultrasonographic findings of Zenker's diverticulum (ZD) includes iso-echoic or hypo-echoic mass with internal or peripheral echogenic foci and a boundary hypo-echoic zone at the posterior portion of the thyroid gland. High-frequency USG identifies multi-layered appearance, continuous with the esophageal wall. Internal echogenic foci within ZD were often misdiagnosed as punctuate micro-calcifications associated with papillary cancer. Boundary hypo-echoic zone or echogenic line on a sonogram with a connection to the esophagus is associated with ZD. Thyroid USG is done to avoid unnecessary aspiration as it is often misdiagnosed for ZD as a thyroid nodule.
Ultrasound
- The ultrasonographic findings of ZD includes[1][2][3]
- Iso-echoic or hypo-echoic mass with internal or peripheral echogenic foci and a boundary hypo-echoic zone at the posterior portion of the thyroid gland.
- High-frequency USG identifies multi-layered appearance, continuous with the esophageal wall.
- Internal echogenic foci within ZD were often misdiagnosed as punctuate micro-calcifications associated with papillary cancer.
- Boundary hypo-echoic zone or echogenic line on a sonogram with a connection to the esophagus is associated with ZD.
- Thyroid USG is done to avoid unnecessary aspiration as it is often misdiagnosed for ZD as a thyroid nodule.
References
- ↑ "Sonographic Findings of Zenker Diverticula - Kwak - 2006 - Journal of Ultrasound in Medicine - Wiley Online Library".
- ↑ "New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid. - PubMed - NCBI".
- ↑ "New Sonographic Criteria for Recommending Fine-Needle Aspiration Biopsy of Nonpalpable Solid Nodules of the Thyroid : American Journal of Roentgenology : Vol. 178, No. 3 (AJR)".