Ultrasonographic and non-enhanced CT features of acute transient thyroid swelling following fine-needle aspiration biopsy: report of four cases

Verfasser / Beitragende:
[Keiko Yamada, Kazuhisa Toda, Aya Ebina, Noriko Motoi, Iwao Sugitani]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/3(2015-07-01), 417-425
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10396-014-0600-6  |2 doi 
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245 0 0 |a Ultrasonographic and non-enhanced CT features of acute transient thyroid swelling following fine-needle aspiration biopsy: report of four cases  |h [Elektronische Daten]  |c [Keiko Yamada, Kazuhisa Toda, Aya Ebina, Noriko Motoi, Iwao Sugitani] 
520 3 |a We report four cases of acute transient thyroid swelling following fine-needle aspiration biopsy, a rare complication of still unknown origin. The ultrasonographic pattern was fairly similar to that in previous reports: swelling of the thyroid with a patchy and heterogeneous appearance and diffusely scattered hypoechoic "cracks” that showed no blood flow signals with color Doppler ultrasound. There were also some features that differed from those in previous reports. Though thyroid swelling is typically diffuse and bilateral, it was unilateral or asymmetrical in some of our cases. While thyroid swelling is said to resolve spontaneously within 1-20h, abnormal ultrasonographic findings persisted for more than 48h in one case. Unlike previous reports, we have experienced cases with ultrasonographic findings of concomitant minor subcapsular hematomas. In one case, CT demonstrated not only thyroid swelling but also abnormal attenuation in perithyroid tissue extending to the retro-hypopharyngeal space and to the paraesophageal mediastinum. Although vasodilatation and diffuse vascular leakage are speculated to be the underlying mechanisms, our ultrasonograms at the time of the complication failed to demonstrate enlarged intrathyroidal vessels or hypervascularity with color Doppler ultrasound. More awareness and a description of the cases may help to clarify the pathogenesis of this self-limited complication. 
540 |a The Japan Society of Ultrasonics in Medicine, 2014 
690 7 |a Acute transient thyroid swelling  |2 nationallicence 
690 7 |a Fine-needle aspiration cytology  |2 nationallicence 
690 7 |a Thyroid nodule  |2 nationallicence 
690 7 |a Ultrasound  |2 nationallicence 
690 7 |a CT  |2 nationallicence 
700 1 |a Yamada  |D Keiko  |u Department of Ultrasound, Cancer Institute Hospital, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
700 1 |a Toda  |D Kazuhisa  |u Department of Head and Neck Surgery, Cancer Institute Hospital, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
700 1 |a Ebina  |D Aya  |u Department of Head and Neck Surgery, Cancer Institute Hospital, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
700 1 |a Motoi  |D Noriko  |u Department of Pathology, Japanese Foundation for Cancer Research, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
700 1 |a Sugitani  |D Iwao  |u Department of Endocrine Surgery, Nippon Medical School, 1-1-5 Sendagi, 113-8603, Bunkyo-Ku, Tokyo, Japan  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 417-425  |x 1346-4523  |q 42:3<417  |1 2015  |2 42  |o 10396 
856 4 0 |u https://doi.org/10.1007/s10396-014-0600-6  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10396-014-0600-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamada  |D Keiko  |u Department of Ultrasound, Cancer Institute Hospital, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Toda  |D Kazuhisa  |u Department of Head and Neck Surgery, Cancer Institute Hospital, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ebina  |D Aya  |u Department of Head and Neck Surgery, Cancer Institute Hospital, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Motoi  |D Noriko  |u Department of Pathology, Japanese Foundation for Cancer Research, 3-8-31 Ariake, 135-8550, Koto-Ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sugitani  |D Iwao  |u Department of Endocrine Surgery, Nippon Medical School, 1-1-5 Sendagi, 113-8603, Bunkyo-Ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 417-425  |x 1346-4523  |q 42:3<417  |1 2015  |2 42  |o 10396