Thyroid adenoma other imaging findings: Difference between revisions

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* Cold &ndash; 85% of nodules are cold. 5&ndash;8% of cold and warm nodules are malignant.<ref>{{cite journal |last1=Gates |first1=Jeremy D. |last2=Benavides |first2=Linda C. |last3=Shriver |first3=Craig D. |last4=Peoples |first4=George E. |last5=Stojadinovic |first5=Alexander |title=Preoperative Thyroid Ultrasound In All Patients Undergoing Parathyroidectomy? |journal=Journal of Surgical Research |volume=155 |issue=2 |pages=254–60 |year=2009 |pmid=19482296 |doi=10.1016/j.jss.2008.09.012 }}</ref>
* Cold &ndash; 85% of nodules are cold. 5&ndash;8% of cold and warm nodules are malignant.<ref>{{cite journal |last1=Gates |first1=Jeremy D. |last2=Benavides |first2=Linda C. |last3=Shriver |first3=Craig D. |last4=Peoples |first4=George E. |last5=Stojadinovic |first5=Alexander |title=Preoperative Thyroid Ultrasound In All Patients Undergoing Parathyroidectomy? |journal=Journal of Surgical Research |volume=155 |issue=2 |pages=254–60 |year=2009 |pmid=19482296 |doi=10.1016/j.jss.2008.09.012 }}</ref>
* Functioning nodules – The cells in the nodule take up the iodine much like a normal cell does. The likelihood of cancer is very low in these types of nodules, and a biopsy is usually not necessary.
* Hot &ndash; 5% of nodules are hot. Malignancy is virtually nonexistent in hot nodules.<ref>Robbins pathology 8ed page 767</ref>
* Hot &ndash; 5% of nodules are hot. Malignancy is virtually nonexistent in hot nodules.<ref>Robbins pathology 8ed page 767</ref>
* An <sup>123</sup>I scan showing a hot nodule, accompanied by a lower than normal TSH, is strong evidence that the nodule is not cancerous.
* An <sup>123</sup>I scan showing a hot nodule, accompanied by a lower than normal TSH, is strong evidence that the nodule is not cancerous.
====Key Examples of Radioiodine Scintigraphy in Thyroid Adenoma====
====Key Examples of Radioiodine Scintigraphy in Thyroid Adenoma====
[[File:Thyroid scan.jpg|thumb|center|400 px|Comet tail artifacts from colloid. Medical ultrasound image.<SMALL><SMALL>''[http://www.wikipedia.org''<ref name="Wikipedia">{{Cite web | title = Wikipedia thyroid ultrasound| url =  https://en.wikipedia.org/wiki/Thyroid_nodule#/media/File:Ultrasound_Scan_ND_0124141638_1428320.png}}</ref></SMALL></SMALL>]]
[[File:Thyroid scan.jpg|thumb|center|400 px|Comet tail artifacts from colloid. Medical ultrasound image.<SMALL><SMALL>''[http://www.wikipedia.org''<ref name="Wikipedia">{{Cite web | title = Wikipedia thyroid ultrasound| url =  https://en.wikipedia.org/wiki/Thyroid_nodule#/media/File:Ultrasound_Scan_ND_0124141638_1428320.png}}</ref></SMALL></SMALL>]]

Revision as of 07:46, 12 October 2015

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

Overview

Other Imaging Findings

Thyroid Scan (radioiodine scintigraphy)

Key Findings in Radioiodine Scintigraphy in Thyroid Adenoma

  • Cold – 85% of nodules are cold. 5–8% of cold and warm nodules are malignant.[2]
  • Functioning nodules – The cells in the nodule take up the iodine much like a normal cell does. The likelihood of cancer is very low in these types of nodules, and a biopsy is usually not necessary.
  • Hot – 5% of nodules are hot. Malignancy is virtually nonexistent in hot nodules.[3]
  • An 123I scan showing a hot nodule, accompanied by a lower than normal TSH, is strong evidence that the nodule is not cancerous.

Key Examples of Radioiodine Scintigraphy in Thyroid Adenoma

Comet tail artifacts from colloid. Medical ultrasound image.[http://www.wikipedia.org[4]

References

  1. MedlinePlus Encyclopedia Thyroid scan
  2. Gates, Jeremy D.; Benavides, Linda C.; Shriver, Craig D.; Peoples, George E.; Stojadinovic, Alexander (2009). "Preoperative Thyroid Ultrasound In All Patients Undergoing Parathyroidectomy?". Journal of Surgical Research. 155 (2): 254–60. doi:10.1016/j.jss.2008.09.012. PMID 19482296.
  3. Robbins pathology 8ed page 767
  4. "Wikipedia thyroid ultrasound".

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