Book ChapterDOI
Contrast-Enhanced Ultrasound in the Management of Thyroid Nodules
Enrico Papini,Giancarlo Bizzarri,Antonio Bianchini,Rinaldo Guglielmi,Filomena Graziano,Francesco Lonero,Sara Pacella,Claudio Maurizio Pacella +7 more
- pp 151-171
TLDR
Thyroid US results in improved management for patients, with clinical findings suggestive of thyroid nodules, and Color Doppler US was proposed to evaluate nodule characteristics.Abstract:
INTRODUCTION Thyroid nodules are discovered by palpation in 3–7% of subjects in the general population, but an epidemic of clinically unapparent thyroid lesions is detected by high-resolution ultrasonography (US) of the cervical region (1–3). The clinical importance of thyroid nodules, besides the infrequent local compressive symptoms or thyroid dysfunction, is the possibility of thyroid cancer, which occurs in about 5% of all thyroid nodules (4–5). Thus it is essential to improve our diagnostic tools to avoid the use of unnecessary diagnostic surgery. Brightness-mode US is currently the most accurate imaging test to evaluate solitary thyroid nodules or multinodular goiters (6–8). Thyroid US results in improved management for patients, with clinical findings suggestive of thyroid nodules (9). Many patients either have a palpable but not suspicious nodule, or have incidentally revealed but sonographically relevant nodules that warrant fine needle aspiration biopsy (10). Unfortunately, in most cases US characteristics cannot unequivocally distinguish benign and malignant lesions (10–12). Color Doppler US was proposed to evaluate noduleread more
Citations
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Journal ArticleDOI
2020 European Thyroid Association Clinical Practice Guideline for the Use of Image-Guided Ablation in Benign Thyroid Nodules.
TL;DR: New guidelines for the use of image-guided thermal ablation in adult patients with benign thyroid nodules are developed, restricting its use to benign lesions that cause symptoms or cosmetic concern.
Journal ArticleDOI
Ultrasound-guided laser ablation of incidental papillary thyroid microcarcinoma: a potential therapeutic approach in patients at surgical risk.
Enrico Papini,Rinaldo Guglielmi,Hossein Gharib,Irene Misischi,Filomena Graziano,Marco Chianelli,Anna Crescenzi,Antonio Bianchini,D. Valle,Giancarlo Bizzarri +9 more
TL;DR: Laser-induced thermal ablation was a safe and effective ablative treatment for a patient with PTMC confined to the thyroid gland who was at high surgical risk and should be considered only in elderly patients and/or in those with comorbidities.
Journal ArticleDOI
DIAGNOSIS OF ENDOCRINE DISEASE: Thyroid ultrasound (US) and US-assisted procedures: from the shadows into an array of applications
TL;DR: Using percutaneous ethanol injection for cystic lesions and thermal ablation, with laser or radiofrequency, for solid nodules are increasingly used and disseminated beyond the initial core facilities, and should be considered as first-line treatment alternatives to surgery for selected patients with benign enlarging or symptomatic thyroid lesions.
Book
Thyroid Ultrasound and Ultrasound-Guided FNA
TL;DR: Thyroid ultrasound and ultrasound-guided FNA / , Thyroid ultrasounds and ultrasounds guided by radiolysis / , and Thyroid and ultrasound guided FNA .
References
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Journal ArticleDOI
Management guidelines for patients with thyroid nodules and differentiated thyroid cancer.
Journal ArticleDOI
European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium
Furio Pacini,Martin Schlumberger,Henning Dralle,Rossella Elisei,Johannes W. A. Smit,Wilmar M. Wiersinga +5 more
TL;DR: European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium Furio Pacini, Martin Schlumberger, Henning Dralle, Rossella Elisei, Johannes W A Smit, Wilmar Wiersinga and the European Thyroid Cancer Taskforce Section of Endocrinology and Metabolism are presented.
Journal ArticleDOI
Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and color-Doppler features.
Enrico Papini,Rinaldo Guglielmi,Antonio Bianchini,Anna Crescenzi,Silvia Taccogna,Francesco Nardi,Claudio Panunzi,R. Rinaldi,Vincenzo Toscano,Claudio Maurizio Pacella +9 more
TL;DR: The aim of the study was to correlate the sonographic and color-Doppler findings with the results of US-guided fine needle aspiration biopsy and of pathologic staging of resected carcinomas to establish the relative importance of US features as risk factors of malignancy and a cost-effective management of nonpalpable thyroid nodules.
Journal ArticleDOI
Fine-Needle Aspiration Biopsy of the Thyroid: An Appraisal
Hossein Gharib,John R. Goellner +1 more
TL;DR: The utility and limitations of fine-needle aspiration biopsy in the evaluation and management of thyroid nodules are examined by reviewing studies reported in the literature from 1982 to 1991 and using 12 years of experience with more than 11 000 biopsies to offer a reasoned approach to the management of nodular thyroid disease.
Journal ArticleDOI
Management of thyroid nodules detected at US: Society of radiologists in ultrasound consensus conference statement
Mary C. Frates,Carol B. Benson,J. William Charboneau,Edmund S. Cibas,Orlo H. Clark,Beverly G. Coleman,John J. Cronan,Peter M. Doubilet,Douglas B. Evans,John R. Goellner,Ian D. Hay,Barbara S. Hertzberg,Charles M. Intenzo,R. Brooke Jeffrey,Jill E. Langer,P. Reed Larsen,Susan J. Mandel,William D. Middleton,Carl C. Reading,Steven I. Sherman,Franklin N. Tessler +20 more
TL;DR: The recommendations in this consensus statement, which are based on analysis of the current literature and common practice strategies, are thought to represent a reasonable approach to thyroid nodular disease.