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Follicular thyroid cancer echocardiography or ultrasound

Introduction

Overview

Overview

Neck ultrasound may be performed to detect follicular thyroid cancer.

Ultrasound

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
Reference

Reference

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