Skip to main content

Lesions with Intermediate Suspicion of Malignancy

  • Chapter
  • First Online:
Atlas of Thyroid Ultrasonography

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  2. 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.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics