A Combination of Contrast‐Enhanced Ultrasound and Thyroglobulin Level in Fine Needle Aspirates Improves Diagnostic Accuracy for Metastatic Lymph Nodes of Papillary Thyroid Carcinoma

2021 ◽  
Author(s):  
Naxiang Liu ◽  
Lina Tang ◽  
Yijie Chen ◽  
Yaoqin Wang ◽  
Weiqin Huang ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Lymph Nodes ◽  
Diagnostic Accuracy ◽  
Contrast Enhanced Ultrasound ◽  
Papillary Thyroid ◽  
Fine Needle ◽  
Fine Needle Aspirates ◽  
Contrast Enhanced ◽  
Thyroglobulin Level

scholarly journals Value of Contrast-Enhanced Ultrasound in the Preoperative Evaluation of Papillary Thyroid Carcinoma Invasiveness

2022 ◽  
Vol 11 ◽  
Author(s):  
Lei Chen ◽  
Luzeng Chen ◽  
Zhenwei Liang ◽  
Yuhong Shao ◽  
Xiuming Sun ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Lymph Nodes ◽  
Diagnostic Accuracy ◽  
Preoperative Evaluation ◽  
Contrast Enhanced Ultrasound ◽  
Papillary Thyroid ◽  
Contrast Enhanced ◽  
Group A ◽  
Group B

ObjectiveTo evaluate the diagnostic performance of preoperative contrast-enhanced ultrasound (CEUS) in the detection of extracapsular extension (ECE) and cervical lymph node metastasis (LNM) of papillary thyroid carcinoma (PTC) and the added value of CEUS in the evaluation of PTC invasiveness to conventional ultrasound (US).Materials and MethodsA total of 62 patients were enrolled retrospectively, including 30 patients with invasive PTCs (Group A, ECE or LNM present) and 32 patients with non-invasive PTCs (Group B). All patients underwent US and CEUS examinations before surgery. US and CEUS features of PTCs and lymph nodes were compared between groups. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of US, CEUS, and the combination of the two in the detection of ECE and LNM of PTCs were calculated. Logistic regression was used to analyze relationships between variables.ResultsThe PTC size was larger in group A on both US and CEUS (P = 0.001, P = 0.003). More PTCs showed hyper-enhancement in group A (P = 0.013) than in group B. More PTCs had >25% contact between PTC and the thyroid capsule and discontinued capsule on US and CEUS (all P < 0.05) in group A than in group B. More absent hilum and calcification of lymph nodes were observed in group A (both P < 0.05) than in group B on US. More centripetal perfusion and enlarged lymph nodes were observed in group A (both P < 0.05) than in group B on CEUS. CEUS alone and US combined with CEUS manifested higher diagnostic accuracy (79.0%) than US alone (72.6%) in the detection of ECE. The combination of US and CEUS manifested the highest diagnostic accuracy (95.2%) than CEUS alone (90.3%) and US alone (82.2%) in the detection of LNM. Diagnoses of ECE and LNM by the combination of US and CEUS were independent risk factors for PTC invasiveness [odds ratio (OR) = 29.49 and 97.20, respectively; both P = 0.001].ConclusionCEUS or US combined with CEUS is recommended for the detection of PTC ECE, while the combination of US and CEUS is most recommended for LNM detection. CEUS plays an essential role in the preoperative evaluation of PTC invasiveness.

scholarly journals Cellular swirls in fine needle aspirates of papillary thyroid carcinoma: a new diagnostic criterion

2006 ◽  
Vol 19 (11) ◽  
pp. 1470-1473 ◽  
Author(s):  
Arnold H Szporn ◽  
Songyang Yuan ◽  
Maoxin Wu ◽  
David E Burstein
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Papillary Thyroid ◽  
Fine Needle ◽  
Fine Needle Aspirates ◽  
Diagnostic Criterion
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