Abstract
Up to 55% of benign nodules are hypoechoic compared to thyroid parenchyma and benign nodules ≤1 cm are more likely to be hypoechoic than larger nodules. Hypoechogenicity alone is not a diagnostic sign of malignancy. Lesions with intermediate suspicion of malignancy (estimated risk 10–20%) presents as a hypoechoic solid nodule with smooth regular margin, but without microcalcifications, extrathyroidal extension, or “taller-than-wide” shape. FNAB is recommended at size ≥1 cm. To see: 3 cases, 14 pictures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association Management Guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016;26(1):1–133.
Moon WJ, Jung SL, Lee JH, Na DG, Baek JH, Lee YH, et al.; Thyroid Study Group, Korean Society of Neuro- and Head and Neck Radiology. Benign and malignant thyroid nodules: US differentiation—multicenter retrospective study. Radiology 2008;247(3):762–770.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Halenka, M., Fryšák, Z. (2017). Lesions with Intermediate Suspicion of Malignancy. In: Atlas of Thyroid Ultrasonography. Springer, Cham. https://doi.org/10.1007/978-3-319-53759-7_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-53759-7_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-53758-0
Online ISBN: 978-3-319-53759-7
eBook Packages: MedicineMedicine (R0)