By Arne Heilo MD, Eva Sigstad MD, Krystyna Grøholt MD (auth.), Arne Heilo, Eva Sigstad, Krystyna Grøholt (eds.)
Atlas of Thyroid Lesions presents a large evaluate of the range of lesions within the thyroid gland and their diversified features and lines, within the distinctive mix of ultrasound, cytologic and histologic visual appeal. Nodules within the thyroid gland are very common. reviews estimate that greater than 70% of the grownup inhabitants within the usa has thyroid lesions whilst 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 enough fundamental surgical procedure. This ebook demonstrates how multidisciplinary techniques can bring up the standard of the complicated thyroid diagnoses and thereby safe right remedy. This atlas offers: • finished description and evaluation of all thyroid lesions, tumor kinds, nodules and neck lymph node metastases • prime quality ultrasound and pathology photos • effortless to discover photos of expected tumor kinds • Didactic instruments for the way to enhance diagnostic accuracy within the field
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Extra info for Atlas of Thyroid Lesions
21 Colloid Nodules Left Lobe FIGURE 3-5. Ultrasound of colloid nodules in the left (A–C) and right (D) lobes. A, Transverse, 12 x 21 mm. B, Color Doppler, transverse. C, Longitudinal, sagittal diameter: 40 mm. D, Right lobe longitudinal. 64-Year-old woman • Clinical history: Incidentaloma in left lobe found at CT of the thorax • Ultrasound: Colloid nodules both lobes • Cytology left lobe: Colloid nodule • Left hemithyroidectomy: Colloid nodules Features Multinodular Iso-/hyperechoic Inhomogeneous echo pattern “Eggshell” calcifications Partially well circumscribed Partially thin hypoechoic halo Moderately vascularized 22 FIGURE 3-6.
C, Longitudinal, sagittal diameter: 40 mm. D, Color Doppler, longitudinal. 61-Year-old man • Clinical history: Cyst in right lobe past 4 years. Several aspirations. • Ultrasound: Semicystic tumor. Malignant? • Cytology: Follicular nodule with cystic degeneration • Right hemithyroidectomy: Degenerated colloid nodule Features Mixed echogenicity in solid tissue Inhomogeneous echo pattern Well circumscribed Large cyst with septa Rich vascularity in solid tissue 36 FIGURE 3–26. Histology: cystic space (arrow) within the colloid nodule FIGURE 3-27.
Ultrasound of a colloid nodule in the left lobe. A, Transverse. B, Longitudinal. Sagittal diameter: 60 mm. C, Transverse. D and E, Color Doppler. 33-Year-old woman • Clinical history: Past 2 years cyst in left thyroid lobe. Aspirated twice. New tumor present. • Ultrasound: Colloid nodule? Follicular tumor? • Cytology: Cystic fluid with macrophages • 16-Gauge histologic needle biopsy: Follicles. Colloid nodule? Follicular adenoma? • Left hemithyroidectomy: Colloid nodule Features Mixed echogenicity Cystic areas A few microcalcifications or crystallic colloid Well circumscribed Partial thin hypoechoic halo Scantly vascularized 50 FIGURE 3–47.
Atlas of Thyroid Lesions by Arne Heilo MD, Eva Sigstad MD, Krystyna Grøholt MD (auth.), Arne Heilo, Eva Sigstad, Krystyna Grøholt (eds.)