Download Atlas of Thyroid Lesions by Arne Heilo MD, Eva Sigstad MD, Krystyna Grøholt MD (auth.), PDF

By Arne Heilo MD, Eva Sigstad MD, Krystyna Grøholt MD (auth.), Arne Heilo, Eva Sigstad, Krystyna Grøholt (eds.)

Atlas of Thyroid Lesions presents a wide evaluation of the range of lesions within the thyroid gland and their diversified features and contours, within the exact mix of ultrasound, cytologic and histologic visual appeal. Nodules within the thyroid gland are very common. experiences estimate that greater than 70% of the grownup inhabitants within the usa has thyroid lesions whilst tested by means of 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 operation. This booklet demonstrates how multidisciplinary methods can bring up the standard of the advanced thyroid diagnoses and thereby safe right therapy. This atlas provides: • accomplished description and evaluation of all thyroid lesions, tumor forms, nodules and neck lymph node metastases • top of the range ultrasound and pathology photos • effortless to discover pictures of expected tumor kinds • Didactic instruments for a way to enhance diagnostic accuracy within the field

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B, Color Doppler, Transverse. C, Longitudinal. 37-Year-old woman • Clinical history: Two cold nodules at scintigraphy • Ultrasound: Papillary thyroid carcinoma (PTC), isthmus/ left lobe. Colloid cyst in left lobe. • Cytology: PTC • Thyroidectomy: PTC in isthmus. Cystic colloid nodule in left lobe Features Isoechoic Homogeneous echo pattern Small cyst with calcifications Not clearly circumscribed Scantly vascularized See also pages 162–163 26 FIGURE 3–11. Histology: nodule rich in colloid in the center.

Ultrasound of a hyperplastic nodule in the right lobe. A, Transverse, 10 x 13 mm. B, Color Doppler, Transverse. C, Longitudinal, sagittal diameter: 14 mm. 47-Year-old woman • Clinical history: Nodular goiter and autoimmune thyroiditis for many years • Ultrasound: Probably papillary thyroid carcinoma left lobe and colloid nodule in right lobe • Cytology: Hyperplastic nodule • Thyroidectomy: Papillary carcinoma with follicular differentiation in left lobe. Excessive Hashimoto’s thyroiditis. Hyperplastic nodule right lobe.

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.

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