Advertisement

Management of a Thyroid Nodule Which Is Hypoactive on Thyroid Scintigraphy and Has Eggshell Calcification on USG

  • Gülşah Yenidünya Yalın
  • Betül Uğur Altun
Chapter

Abstract

Thyroid nodules arise from the increased proliferation rate of thyroid cells. The primary target when assessing thyroid nodules is to exclude the presence of thyroid cancer, which is present in approximately 4.0–6.5% of thyroid nodules. Thyroid ultrasound (USG) should be performed in all patients with a suspected thyroid nodule or nodular goiter on physical examination. The population who are more prone to have thyroid carcinoma are adults <30 or over 60 years old, patients with a history of head and neck irradiation, and patients with a family history of thyroid cancer. We hereby present a 43-year-old female patient who had a hypoactive thyroid nodule with eggshell calcification on thyroid ultrasonography.

Keywords

Thyroid nodule Thyroid ultrasonography Calcification Fine needle aspiration biopsy 

References

  1. 1.
    Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2016;26:1–178.CrossRefGoogle Scholar
  2. 2.
    Anil G, Hedge A, Chang FHV. Thyroid nodules: risk stratification for malignancy with ultrasound and guided biopsy. Cancer Imaging. 2011;11:209–13.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Gharib H, Papini E, Garber JR, Duick DS, Harrell RM, Hegedüs L, AACE/ACE/AME Task Force on Thyroid Nodules, et al. American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi medical guidelines for clinical practice for the diagnosis and management of thyroid nodules-2016 update. Endocr Pract. 2016;22:622–39.CrossRefGoogle Scholar
  4. 4.
    Wong CKM, Wheeler MH. Thyroid nodules: rational management. World J Surg. 2000;24:934–41.CrossRefGoogle Scholar
  5. 5.
    Burman DB, Wartofsky L. Thyroid nodules. N Engl J Med. 2015;373:2347–56.CrossRefGoogle Scholar
  6. 6.
    Li Q, Chen S, Xiong H, Xu X, Li Z, Guo G. Papillary thyroid carcinoma on sonography. Clin Imaging. 2010;34:121–6.CrossRefGoogle Scholar
  7. 7.
    Lacout A, Chevenet C, Thariat J, Marcy PY. Thyroid calcifications: a pictorial essay. J Clin Ultrasound. 2016;44:245–51.CrossRefGoogle Scholar
  8. 8.
    Taki S, Terahata S, Yamashita R, Kinuya K, Nobata K, et al. Thyroid calcifications: sonographic patterns and incidence of cancer. Clin Imaging. 2004;28:368–71.CrossRefGoogle Scholar
  9. 9.
    Kim BY, Choi YS, Kwon HY, Lee JS, Heo JJ, Han YJ, et al. Relationship between patterns of calcification in thyroid nodules and histopathologic findings. Endocr J. 2013;60:155–60.CrossRefGoogle Scholar
  10. 10.
    Yaturu S, Rainer L. Thyroid nodule with eggshell calcification and oncocytic thyroid cancer. Med Sci Monit. 2010;16:25–8.Google Scholar
  11. 11.
    Yoon JH, Lee HS, Kim E, Moon HJ, Kwak JY. Malignancy risk stratification of thyroid nodules: comparison between the thyroid imaging reporting and data system and the 2014 American Thyroid Association management guidelines. Radiology. 2016;278:917–24.CrossRefGoogle Scholar
  12. 12.
    Ianni F, Perotti G, Prete A, Paragliola RM, Ricciato MP, Carrozza C, et al. Thyroid scintigraphy: an old tool is still the gold standard for an effective diagnosis of autonomously functioning thyroid nodules. J Endocrinol Investig. 2013;36:233–6.Google Scholar
  13. 13.
    Russ G. Risk stratification of thyroid nodules on ultrasonography with the French TI-RADS: description and reflections. Ultrasonography. 2016;35:25–38.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Gülşah Yenidünya Yalın
    • 1
  • Betül Uğur Altun
    • 1
  1. 1.Department of EndocrinologyBaşkent University Istanbul HospitalIstanbulTurkey

Personalised recommendations