Ultrasound in the Management of Thyroid Cancer
The strategic value of ultrasound in the postoperative surveillance of patients with thyroid cancer and in the preoperative surgical planning of patients undergoing thyroid cancer surgery has become increasingly appreciated over the past decade. In this chapter we will focus on how to recognize and differentiate malignant lymph nodes from benign lymphadenopathy. Once you become familiar with the appearance of metastatic lymph nodes in thyroid cancer, you will find that ultrasound is a more specific tool for separating benign from malignant lymph nodes than it is for separating benign and malignant thyroid nodules. However, we still must rely on ultrasound-guided FNA for a definitive diagnosis.
KeywordsLymph Node Thyroid Cancer Thyroid Nodule Metastatic Lymph Node Differentiate Thyroid Cancer
Unable to display preview. Download preview PDF.
- 2.Schumberger M, Arcangioli O, Piekarski J et al (1988) Detection and treatment of lung metastases of differentiated thyroid carcinoma in patients with normal chest x-ray. J Nucl Med 29:1790–1794Google Scholar
- 12.Pacini F, Fugazzola I, Lippi F, Ceccarelli C, Centoni R, Miccoli P, Elisei R, Pinchera A (1992) Detection of thyroglobulin in the needle aspirates of nonthyroidal neck masses: a clue to the diagnosis of metastatic differentiated thyroid cancer. J Clin Endocrinol Metab 74:1401–1404PubMedCrossRefGoogle Scholar
- 17.Noguchi S, Murakami N, Yamashita H et al (1998) Prognostic factors in patients with differentiated thyroid carcinoma. Eur J Surg 166:29–33Google Scholar