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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 REVIEW ARTICLE Pearls and Pitfalls of Thyroid Nodule Sonography and Fine-Needle Aspiration Daniel T. Ginat, MD, MS,* Devang Butani, MD,* Ellen J. Giampoli, MD,Þ Nikhil Patel, MD,* and Vikram Dogra, MD* routinely performed for diagnosis, certain features on ultra- Purpose: To review the ultrasound appearances of thyroid nodules sound have been presumed to help discern malignant from with an emphasis on morphological features and to illustrate pearls benign thyroid lesions. However, the significance of many of and pitfalls related to ultrasound interpretation and fine-needle these sonographic findings remains controversial. aspiration. Ultrasound-guided thyroid FNA is deemed to be among Methods: The ultrasound features of 156 consecutive thyroid the most cost-effective and reliable tools for obtaining a diag- nodules with available cytological diagnoses were retrospectively nosis, with a reported accuracy of 95% and sensitivity of 87% reviewed. The presence of Bhoneycomb[ morphology, aspect ratio, 2,3 to 93%. Therefore, thyroid FNA is routinely performed. taller-than-wide shape, presence of colloid, consistency, echogenicity, However, thyroid FNA has certain limitations, mainly non- presence of halo, margin definition, multiplicity of the nodules, lar- diagnostic and indeterminate results. In this study, sonographic gest nodule dimension, and lesion vascularity were compared
Ultrasound quarterly – Wolters Kluwer Health
Published: Sep 1, 2010
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