- Thyroid Microcalcifications in the Absence of Identifiable Nodules and Their Association With Thyroid Cancer. [Journal Article]
- JUJ Ultrasound Med 2018 May 21
- CONCLUSIONS: Our study suggests that the presence of thyroid microcalcifications without a nodule is suspicious for PTC. We found that both patterns were suspicious for PTC, particularly in young patients. Special concern arises for those clustered microcalcifications on a background of Hashimoto thyroiditis.
- Current use of molecular profiling for indeterminate thyroid nodules. [Journal Article]
- CECir Esp 2018 May 17
- Even though cytology remains the gold standard to assess the nature of thyroid nodules, up to 30% of the results are indeterminate (BethesdaIII and IV). In these cases, current guidelines recommend p...
Even though cytology remains the gold standard to assess the nature of thyroid nodules, up to 30% of the results are indeterminate (BethesdaIII and IV). In these cases, current guidelines recommend performing diagnostic surgery, which proves malignancy in only 15-30% of cases. A more precise method is needed to avoid unnecessary surgeries, surgical complications and costs in the process of diagnosing indeterminate nodules. Complementary use of molecular profiling tests seems to help in this complex scenario. We present a review of the current literature on the usefulness of molecular profiling of thyroid nodules so as to define its indications, costs and usability for clinical practice.
- Diagnostic performance of ATA, BTA and TIRADS sonographic patterns in the predication of malignancy in histologically proven thyroid nodules. [Journal Article]
- SMSingapore Med J 2018 May 18
- CONCLUSIONS: Our study showed that sonographic patterns outlined by the three guidelines have high sensitivity and NPV. Although isolated suspicious US features cannot predict malignancy risk, they should be considered when risk stratifying nodules that do not fit into particular sonographic patterns based on current guidelines.
- Interventional radiology of the thyroid gland: critical review and state of the art. [Review]
- GSGland Surg 2018; 7(2):132-146
- Thyroid nodules are a common incidental finding during a routinely ultrasound (US) exam unrelated to the thyroid gland in the healthy adult population with a prevalence of 20-76%. As treated before w...
Thyroid nodules are a common incidental finding during a routinely ultrasound (US) exam unrelated to the thyroid gland in the healthy adult population with a prevalence of 20-76%. As treated before with surgery, in the last years new minimally invasive techniques have been developed as an alternative to surgery. The aim of this review, based on newly revised guidelines, is to provide some information regarding the basic principles, indications, materials, techniques, and results of mini-invasive procedures or treatments for thyroid nodules. We performed a narrative review including both newest and representative papers and guidelines based on the different procedures of ablation techniques developed in the last years for the diagnosis and the treatment of thyroid nodules. All examined papers referred very good results in term of volume nodule reduction, improvement in related symptoms and cosmetic problems, with a very low rate of complications and side effects for all the minimally invasive technique analyzed. Obviously, some differents between technique based on different kind of thyroid nodules and different indication were found. In conclusion, many thyroid nodules nowadays could be treated thanks to the advent of new mini-invasive technique that are less expensive and present a lower risk of major complications and side effects compared to surgery.
- Which needle in the treatment of thyroid nodules? [Review]
- GSGland Surg 2018; 7(2):111-116
- Thyroid nodules are a common finding in general population, with a prevalence of 20% to 70% at ultrasound (US) examination. Many of them are benign but treatment can be necessary to relief compressiv...
Thyroid nodules are a common finding in general population, with a prevalence of 20% to 70% at ultrasound (US) examination. Many of them are benign but treatment can be necessary to relief compressive symptoms. In the last years, percutaneous ablations have achieved amazing development in the treatment of thyroid nodules as they provide a minimally invasive but effective approach. We aimed to summarize the main aspects related to treatment of thyroid nodules with radiofrequency ablation (RFA), focusing on the use of different types of needles. A narrative review was performed and all papers analyzed reported good results in terms of nodule's size reduction and symptoms relief. No major complications have been reported, even though needles of bigger size seemed related with major risks of post-procedural local edema. Thus, thinner internally cooled multi tined needles [18-19 Gauge (G)] rather than larger needles (14 G) seem to have better results and less complications.
- Cooled tip radiofrequency ablation of benign thyroid nodules: preliminary experience with two different devices. [Journal Article]
- GSGland Surg 2018; 7(2):67-79
- CONCLUSIONS: The two systems used in our study resulted equivalent in terms of US needle visibility, efficacy, symptom/cosmetic relief, safety. More patients and a longer follow-up are necessary to confirm our results.
- [18F]DOPA PET/ceCT in diagnosis and staging of primary medullary thyroid carcinoma prior to surgery. [Journal Article]
- EJEur J Nucl Med Mol Imaging 2018 May 15
- CONCLUSIONS: This study revealed that DOPA PET/ceCT has high sensitivity in the detection of primary MTC and superior sensitivity in the detection of LN metastases compared to ultrasonography. DOPA PET/ceCT identification of N1b status predicts postoperative tumour persistence. Thus, implementation of a DOPA-guided LN dissection might improve surgical success.
- Quantitative Analysis of Thyroid Tumors Vascularity: A Comparison between 3-D Contrast-Enhanced Ultrasound and 3-D Power Doppler on benign and malignant thyroid nodules. [Journal Article]
- MPMed Phys 2018 May 15
- CONCLUSIONS: Our early results confirm the correlation between the morphology and distribution of blood vessels and the malignancy of the lesion, and also show (at least for the dataset used in this study) a considerable similarity in terms of findings of PDUS and CEUS imaging for thyroid nodules diagnosis and classification. This article is protected by copyright. All rights reserved.
- Ultrasound criteria for risk stratification of thyroid nodules in the previously iodine deficient area of Austria - a single centre, retrospective analysis. [Journal Article]
- TRThyroid Res 2018; 11:3
- CONCLUSIONS: Our findings support the recently published EU-TIRADS score. Apart from mild hypoechogenicity, the analyzed ultrasound criteria can be applied for risk stratification of thyroid nodules in the previously severely iodine deficient population of Austria.
New Search Next
- Thyroid incidentalomas detected on 18F-FDG PET/CT: Malignant risk stratification and management plan. [Journal Article]
- TThyroid 2018 May 15
- CONCLUSIONS: Ultrasound examinations can be used to stratify the malignancy risk of thyroid incidentalomas detected on 18F-FDG PET/CT. The risk of malignancy did not increase in thyroid incidentalomas with low and very low suspicion, indicating that only selective biopsies may be needed in these categories of thyroid incidentalomas.