Sonographic Presentation of Metastases to the Thyroid Gland: A Case Series

Journal of the Endocrine Society
Rosa FalconeGiorgio Grani

Abstract

Incidental sonographic discovery of thyroid nodules is an increasingly common event. The vast majority is benign, and those that are malignant, are generally associated with an indolent course and low mortality. Sonographic scoring systems have been developed to help clinicians identify nodules that warrant prompt fine-needle aspiration cytology (FNAC), but they are based largely on experience with papillary thyroid cancers. We analyzed the performance of four scoring systems widely used for this purpose (American Thyroid Association Guidelines, American Association of Clinical Endocrinologists/American College of Endocrinology/Associazione Medici Endocrinologi Guidelines, European Thyroid Imaging Reporting and Data System, and Korean Thyroid Imaging Reporting and Data System) in patients whose nodules proved to be metastases from other solid cancers. Such nodules reportedly account for 0.2% to 3% of all thyroid malignancies. Each scoring system was used to assess retrospectively the malignancy risk and indications for FNAC of five patients' thyroid nodules that were ultimately diagnosed as metastases (from renal cell carcinoma, breast cancer, and lung cancer in two cases and esophageal cancer). The primaries identified in thes...Continue Reading

References

Jun 10, 2006·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Astrid LièvreDavid Malka
Feb 9, 2012·Thyroid : Official Journal of the American Thyroid Association·Alice Y ChungMichael Bouvet
Jun 27, 2013·American Journal of Clinical Oncology·Livia HegerovaHossein Gharib
May 3, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jung Hee ShinUNKNOWN Korean Society of Thyroid Radiology (KSThR) and Korean Society of Radiology
Mar 24, 2017·Endocrine Pathology·Patrizia StracciaGuido Fadda
Nov 6, 2017·The Lancet. Diabetes & Endocrinology·Giorgio GraniDavid S Cooper

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Citations

Jun 4, 2020·The Journal of Clinical Endocrinology and Metabolism·Giorgio GraniCosimo Durante
Oct 10, 2018·The Journal of Clinical Endocrinology and Metabolism·Giorgio GraniCosimo Durante
Oct 19, 2019·Head and Neck Pathology·Miriam Al BattalAbir Al Ghuzlan
Apr 3, 2019·Endocrine·Rexhep DurmoRaffaele Giubbini
Sep 23, 2020·Reviews in Endocrine & Metabolic Disorders·Pierpaolo TrimboliCosimo Durante
Sep 19, 2020·Polski przeglad chirurgiczny·Joanna PakułaKrzysztof Kuzdak

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Methods Mentioned

BETA
biopsy

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