By Arne Heilo MD, Eva Sigstad MD, Krystyna Grøholt MD (auth.), Arne Heilo, Eva Sigstad, Krystyna Grøholt (eds.)
Atlas of Thyroid Lesions offers a large assessment of the range of lesions within the thyroid gland and their assorted features and lines, within the exact blend of ultrasound, cytologic and histologic visual appeal. Nodules within the thyroid gland are very common. stories estimate that greater than 70% of the grownup inhabitants within the usa has thyroid lesions while tested through ultrasound. greater than eighty% of thyroid nodules are benign. Too many benign nodules are surgically resected as a result of inadequate diagnostics, and too many malignant tumors don't get sufficient basic surgery. This e-book demonstrates how multidisciplinary methods can raise the standard of the advanced thyroid diagnoses and thereby safe right therapy. This atlas provides: • finished description and review of all thyroid lesions, tumor varieties, nodules and neck lymph node metastases • top of the range ultrasound and pathology pictures • effortless to discover pictures of expected tumor forms • Didactic instruments for the way to enhance diagnostic accuracy within the field
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Extra resources for Atlas of Thyroid Lesions
FIGURE 3–37. Gross section showing bleeding within the nodule (arrow). 43 Colloid Nodule Left lobe FIGURE 3-38. Ultrasound of a colloid nodule in the left lobe. A, Transverse, 23 x 45 mm. B, Color Doppler, Transverse. C, Longitudinal, sagittal diameter: 66 mm. 39-Year-old woman • Clinical history: Palpable tumor in left lobe unchanged for more than 1 year • Ultrasound: Colloid nodule? Follicular adenoma? • Cytology: No diagnostic material • 18-Gauge histologic needle biopsy: Follicular tissue without atypia • Left hemithyroidectomy: Colloid nodule Features Slightly hypoechoic Inhomogeneous spongy echo pattern Well circumscribed Thin partial hypoechoic halo A few microcalcifications Suggestion of “spoke-and-wheel-like” vascularity 44 FIGURE 3–39.
Metastasis from follicular thyroid carcinoma in left iliac bone revealed 2 weeks before Ultrasound examination. • Ultrasound: Tumor consistent with follicular carcinoma in left lobe. Colloid nodule in right lobe. • Thyroidectomy: Widely invasive follicular carcinoma in left lobe. Colloid nodule in right lobe. Features Slightly hypoechoic Inhomogeneous echo pattern Small cysts Well circumscribed Coarse calcifications Peripheral hypervascularity See also pages 102–103 28 FIGURE 3–14. Histology: colloid nodule with calciﬁcations in the capsule (arrow) and degenerative changes.
40-Year-old woman • Clinical history: Unknown • Ultrasound: Probably follicular tumor. Benign? Malignant? • Cytology: Follicular lesion • 16-Gauge histologic needle biopsy: Probably colloid nodule • Right hemithyroidectomy: Hyperplastic nodule Features Slightly hypoechoic Inhomogeneous echo pattern Well circumscribed Partial thin, uneven hypoechoic halo “Spoke-and-wheel-like” vascularity 52 FIGURE 3–51. Histology: adenomatous colloid nodule. FIGURE 3–52. Cytology: follicular epithelium (arrows) on a background rich in blood.