Email Alert RSS
Volume 7 Issue 2
Mar.  2016
Turn off MathJax
Article Contents
Abstract
References
Related Articles
Gao-wa SHAREN, Li TAN, Zhen-jie WANG. Ultrasonographic Features of Misdiagnosed Benign Thyroid Nodules[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(2): 115-118. DOI: 10.3969/j.issn.1674-9081.2016.02.007
Citation: Gao-wa SHAREN, Li TAN, Zhen-jie WANG. Ultrasonographic Features of Misdiagnosed Benign Thyroid Nodules[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(2): 115-118. DOI: 10.3969/j.issn.1674-9081.2016.02.007
shu

Ultrasonographic Features of Misdiagnosed Benign Thyroid Nodules

  • 1.

    Department of Health Management,Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information
  • Corresponding author:

    TAN li Tel: 010-69155493, E-mail:tanlixg@163.com

  • Received Date: October 14, 2015
  • Issue Publish Date: March 29, 2016
    Graphical Abstract
    • Abstract
  •   Objective  To study the ultrasonographic features of benign thyroid nodules that were misdiagnosed as malignant nodules.
      Methods  The thyroid ultrasonic examination results of 31 822 healthy people who visited the Department of Health Management, Peking Union Medical College Hospital from January 2011 to December 2014 were analyzed. Fine needle aspiration or surgical resection were performed in those highly suspected as malignant nodules according to some specific ultrasonographic features.
      Results  A total of 162 nodules were suspected malignant in ultrasonography, among which 33 (20.37%) were benign based on pathologic results, primarily nodular goiter with calcinosis/fibrosis(12, 36.36%). Microcalcification(20), irregular boundary of the nodules(9), a taller-than-wide shape(6), and abundant and abnormal blood flow(6) were the most common ultrasonographic signs in turn in those misdiagnosed nodules.
      Conclusions  Ultrasonography is the diagnostic technique of choice for thyroid nodules. Accurate interpretation of the ultrasonographic features of thyroid nodules can improve the accuracy of diagnosis and facilitate the decision in surgery.
    • FullText(HTML)
    • References (18)
  • [1]
    Cooper DS, Doherty GM, Haugen BR, et al. Revised American Thyroid Association Management Guidelines for patients with thyroid nodules and differentiated thyroid cancer[J].Thyroid, 2009, 19:1167-1264. DOI: 10.1089/thy.2009.0110
    [2]
    Cappelli C, Castellano M, Pirola I, et al.The predictive value of ultrasound findings in the management of thyroid nodules[J]. QJM, 2007, 100:29-35. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=HighWire000001969009
    [3]
    Salmaslioglu A, Erbil Y, Dural C, et al.Predictive value of sonographic features in preoperative evaluation of malignant thyroid nodules in a multinodular goiter[J].World J Surg, 2008, 32:1948-1954. DOI: 10.1007/s00268-008-9600-2
    [4]
    Horvath E, Majlis S, Rossi R, et al. An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management[J]. J Clin Endocrinol Metab, 2009, 94:1748-1751. DOI: 10.1210/jc.2008-1724
    [5]
    张益.高频彩超对甲状腺癌诊断价值的探讨和误诊分析[J].中国医师杂志, 2012, 14:402-403. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgyszz201203044
    [6]
    刘术舟, 郭朱明.彩色多普勒超声在甲状腺癌中的诊断价值[J].中华普外科手术学杂志:电子版, 2013, 7:267-272. http://d.wanfangdata.com.cn/Periodical_zhptwksszz201304010.aspx
    [7]
    Cappelli C, Castellano M, Pirola I, et al.Thyroid nodule shape suggestes malignance[J].Eur J Endocrinol, 2006, 155:27-31. DOI: 10.1530/eje.1.02177
    [8]
    张春梅, 吴长君, 张雪菊, 等.超声在甲状腺良恶性结节诊断中的应用[J].中国医学影像技术, 2007, 23:385-387. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgyxyxjs200703019
    [9]
    Das DK.Psammoma body:a product of dystrophic calcification or of a biologically active process that aims at limiting the growth and spread of tumor?[J].Diagn Cytopathol, 2009, 37:534-541. DOI: 10.1002/dc.21081
    [10]
    刘丽, 徐辉雄, 吕明德, 等.甲状腺癌颈部淋巴结转移的超声特征[J].中华医学超声杂志:电子版, 2007, 4:156-158. http://d.wanfangdata.com.cn/Periodical/zhyxcszz200703011
    [11]
    洪玉蓉, 刘学明, 张秀芒, 等.超声检查甲状腺结节钙化类型与甲状腺肿癌的关系分析[J].中华超声影像学杂志, 2008, 17:977-980. http://www.cqvip.com/Main/Detail.aspx?id=28808925
    [12]
    Kim SH, Kim BS, Jung SL, et al.Ultrasonographic findings of medullary thyroid carcinoma:a comparison with papillary thyroid carcinoma[J].Korean J Radiol, 2009, 10:101-105. DOI: 10.3348/kjr.2009.10.2.101
    [13]
    尚卫国, 谭沛, 郭丹梅, 等.超声评估甲状腺结节纵横比≥ 1时对甲状腺微小癌的诊断价值[J].中国医师进修杂志, 2014, 37:59-61. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=ysjxzz201427022
    [14]
    张华伟, 张志文, 梁波.二维及彩色多普勒超声对甲状腺乳头状癌的诊断价值[J].医学影像学杂志, 2012, 22:1661-1669. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=yxyxxzz201210016
    [15]
    李泉水, 张家庭, 田平, 等.甲状腺癌的声像图特征研究[J].中国医学影像技术, 2006, 22:554-556. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgyxyxjs200604023
    [16]
    Salmaslioglu A, Erbil Y, Dural C, et al. Predicitive value of sonographic features in preoperative evaluation of malignant thyroid nodules in a multinodular goiter[J]. World J Surg, 2008, 32:1948-1954. DOI: 10.1007/s00268-008-9600-2
    [17]
    刘术舟, 郭朱明.彩色多普勒超声在甲状腺癌中的诊断价值[J].中华普外科手术学杂志:电子版, 2013, 7:267-272. http://d.wanfangdata.com.cn/Periodical_zhptwksszz201304010.aspx
    [18]
    吕珂, 姜玉新, 张缙熙, 等.甲状腺结节的超声诊断研究[J].中华超声影像学杂志, 2003, 12:285-288. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhcsyx200305008
    • Related Articles

  • Related Articles

    [1]JI Fei, SU Na, LIU Huazhen, FU Zijing, QI Zhenhong, YANG Meng. Ultrasound Diagnosis and Misdiagnosis Analysis of Accessory Cavitated Uterine Malformation[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1100-1106. DOI: 10.12290/xhyxzz.2024-0080
    [2]WANG Yingjiao, WANG Lihong, LI Ruyin, SHEN Songjie, SUN Qiang. Research Progress of Breast Ultrasound in the Screening of Breast Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 315-319. DOI: 10.12290/xhyxzz.2021-0462
    [3]Lu-ying GAO, Yu-xin JIANG, Jian-chu LI, Bo ZHANG, Ying WANG, Ru-yu LIU, Xue-hua XI, Qiong GAO, Xiao YANG, Xing-jian LAI, Shen-ling ZHU, Xiao-yan ZHANG, Rui-na ZHAO. Evaluation on the Effectiveness of Short-term Teaching in the Standardized Training and Examining System of Thyroid Nodule Ultrasound[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 354-357. DOI: 10.3969/j.issn.1674-9081.20180043
    [4]Li TAN, Gui-li ZHOU, Meng-hua DAI, Zhi-lan MENG, Yang GUI, Meng-su XIAO, Jing ZHANG, Qing ZHANG, He LIU, Hua MENG, Jian-chu LI, Ke LYU. Evaluation of Percutaneous Ultrasound-guided Biopsy for Pancreatic Neoplasms: A Case-control Study[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 289-295. DOI: 10.3969/j.issn.1674-9081.20190209
    [5]Shan-shan YOU, Zhong-hui XU, Yu-xin JIANG. Musculoskeletal Ultrasound in the Diagnosis and Treatment of Rheumatoid Arthritis[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(4-5): 215-220. DOI: 10.3969/j.issn.1674-9081.2017.05.005
    [6]Peiying Wang, Yuxin Jiang, Shenling Zhu, Ruyu Liu, Yu Xia, Qingli Zhu, Zhenhong Qi, Sheng Cai, Jianchu Li, Zhenzhen Liu, Ruina Zhao, Xingjian Lai, Qing Zhang, Bo Zhang. Value of Preoperative Ultrasound in the Diagnosis and Localization of Soft-tissueTumor-associated Hypophosphatemic Osteomalacia[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(1): 14-19. DOI: 10.3969/j.issn.1674-9081.2017.01.004
    [7]Zhen-zhen LIU, Meng YANG, Yi-xiu ZHANG, Qing DAI, Jian-chu LI, Jie HAN, Kang-ning LI, Xiao-yan ZHANG, Wen XU, Si-hua NIU, Hong-yan WANG. Causes of Missed Diagnosis and Misdiagnosis of Abdominal Organ Lesions in Preoperative Transabdominal Ultrasound[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(3): 173-178. DOI: 10.3969/j.issn.1674-9081.2015.03.003
    [8]Bo ZHANG, Yu-xin JIANG, Jian-chu LI, Xiao YANG, Shen-ling ZHU, Rui-na ZHAO, Xing-jian LAI, Wen-bo LI, Qiong WU, Qing YANG. Role of Ultrasound in Decision-making of Surgery for Thyroid Nodules: A Retrospective Analysis of Cases of Peking Union Medical College Hospital in Past 11 Years[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(2): 124-127. DOI: 10.3969/j.issn.1674-9081.2015.02.010
    [9]Xue-min YAN, Hao SUN, Ai-ming YANG. Clinical Features and Diagnosis of Pancreatic Tuberculosis[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(2): 119-123. DOI: 10.3969/j.issn.1674-9081.2015.02.009
    [10]Shan-shan YOU, Yu-xin JIANG, He LIU, Qing-li ZHU, Jing ZHANG, Qing DAI, Qiang SUN, Meng-su XIAO. Ultrasound Diagnosis of Phyllodes Tumors[J]. Medical Journal of Peking Union Medical College Hospital, 2010, 1(1): 66-71.

  • Cited by

    Periodical cited type(1)

    1. 毛铭阳，苏童，冯国栋，田旭，徐振潭，陈钰，张竹花，高志强，金征宇. 磁共振脑容积成像对颈静脉球瘤脑膜侵犯的诊断价值. 临床放射学杂志. 2022(04): 612-617 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (258) PDF downloads (17) Cited by(1)
    Related
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

      Supported by: Beijing Renhe Information Technology Co., Ltd.  Baidu Analytics

      /

      DownLoad:  Full-Size Img  PowerPoint
      Return
      Return
      x Close Forever Close