Advanced Ultrasound in Diagnosis and Therapy ›› 2022, Vol. 6 ›› Issue (4): 217-222.doi: 10.37015/AUDT.2022.220021
• Case Reports • Previous Articles Next Articles
Chao Zhang, BSa, Yingying Li, MDa, Mingbo Zhang, MDa,*()
Received:
2022-05-17
Revised:
2022-06-17
Accepted:
2022-08-02
Online:
2022-12-30
Published:
2022-10-25
Contact:
Mingbo Zhang, MD,
E-mail:owsifanduizhe@126.com
Chao Zhang, BS, Yingying Li, MD, Mingbo Zhang, MD. Ultrasound Features of Thyroid Metastatic Tumors from the Digestive System: A Report of 2 Cases. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(4): 217-222.
Figure 1
Conventional US, CEUS, and surgical pathological images in case one. (A) Two-dimensional US showed a hypoechoic mass in the right lobe and isthmus of thyroid gland, with unclear margin, irregular shape, heterogeneous internal echotexture and local capsule protuberated; (B) Rich and irregular blood flow signals were detected in and around the mass; (C) CEUS showed irregular low enhancement at 17s of arterial phase, and the tumor boundary was more clear than two-dimensional US with discontinuous capsule; (D) CEUS showed early and rapid washout of the mass (20s); (E) HE staining, 100 × magnification (red arrow indicated follicular cells); (F) Immunohistochemical staining, 200 × magnification (green arrow indicated CDX-2 high positive cells, suggesting colon adenocarcinoma)."
Figure 2
Conventional US and CEUS findings in case two. (A) Two-dimensional US showed a hypoechoic mass in the right lobe of thyroid, with unclear margin and irregular shape; (B) Rich and irregular blood flow signals were detected in and around the mass; (C) CEUS showed irregular low enhancement at 18s of arterial phase, and the tumor boundary was more clear than two-dimensional US; (D) CEUS showed rapid washout of the mass (20s); (E) HE staining, 200 × magnification (red arrow indicated squamous-cell carcinoma); (F) HE staining, 200 × magnification (green arrow indicated squamous-cell carcinoma)."
[1] | Mauri G, Hegedüs L, Bandula S, Cazzato RL, Czarniecka A, Dudeck O, et al. European thyroid association and cardiovascular and interventional radiological society of Europe 2021 clinical practice guideline for the use of minimally invasive treatments in malignant thyroid lesions. Eur Thyroid J2021;10:185-197. |
[2] | Liu C, Cheng XQ, He FW, Li Y, Lin J, Liu SS, et al. UItrasonic characters and ciinical features of thyroid metastatic carcinoma. Chinese J Ultrasound Med 2021;37;941-944 |
[3] |
Saito Y, Sugitani I, Toda K, Yamada K, Fujimoto Y. Metastatic thyroid tumors: ultrasonographic features, prognostic factors and outcomes in 29 case. Surg Today 2014; 44:55-61.
doi: 10.1007/s00595-013-0492-x pmid: 23355002 |
[4] |
Kim TY, Kim WB, Gong G, Hong SJ, Shong YK. Metastasis to the thyroid diagnosed by fine-needle aspiration biops. Clin Endocrinol (Oxf) 2005; 62:236-241.
doi: 10.1111/j.1365-2265.2005.02206.x |
[5] |
Melis C, Ballaux F, Bourgain C. Curious residents of the thyroid gland: two case reports of colorectal carcinoma metastasis by fine-needle aspiration diagnosi. Acta Cytol 2018; 62:443-449.
doi: 10.1159/000490367 |
[6] |
Tessler FN, Middleton WD, Grant EG. Thyroid imaging reporting and data system (TI-RADS): a user's guid. Radiology 2018; 287:29-36.
doi: 10.1148/radiol.2017171240 |
[7] |
Shin JH, Baek JH, Chung J, Ha EJ, Kim JH, Lee YH, et al; Korean society of thyroid radiology (KSThR) and Korean society of radiology. Ultrasonography diagnosis and imaging-based management of thyroid nodules: revised Korean society of thyroid radiology consensus statement and recommendation. Korean J Radiol 2016; 17:370-395.
doi: 10.3348/kjr.2016.17.3.370 |
[8] |
Russ G, Bonnema SJ, Erdogan MF, Durante C, Ngu R, Leenhardt L. European thyroid association guidelines for ultrasound malignancy risk stratification of thyroid nodules in adults: the EU-TIRAD. Eur Thyroid J 2017; 6:225-237.
doi: 10.1159/000478927 |
[9] |
Zhou J, Yin L, Wei X, Zhang S, Song Y, Luo B, et al; Superficial organ and vascular ultrasound group of the society of ultrasound in medicine of the Chinese medical association; Chinese artificial intelligence alliance for thyroid and breast ultrasound. Endocrine 2020; 70:256-279.
doi: 10.1007/s12020-020-02441-y |
[10] | Liu JJ, Liu LP, Zhang YJ, Zhao YF, Hao YH, Li TT, et al. Analysis of Characteristics microvessel density of thyroid malignant and benign nodules on contrast-enhanced ultrasonograph. Advanced Ultrasound in Diagnosis and Therapy 2018; 03:167-172. |
[11] | Fu Y, Tan S, Cui LG, Mei F. Contrast-enhanced ultrasound improves technical sufficiency of fine-needle aspiration in suspicious thyroid nodule. Advanced Ultrasound in Diagnosis and Therapy 2021; 03:219-225. |
[12] |
Huang K, Liu JB. Application of ultrasonography in the diagnosis and management of papillary thyroid microcarcinom. Advanced Ultrasound in Diagnosis and Therapy 2020; 04:284-290.
doi: 10.37015/AUDT.2020.200001 |
[13] |
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 cance. Thyroid 2016; 26:1-133.
doi: 10.1089/thy.2015.0020 |
[14] |
Stergianos S, Juhlin CC, Zedenius J, Calissendorff J, Falhammar H. Metastasis to the thyroid gland: characterization and survival of an institutional series spanning 28 year. Eur J Surg Oncol 2021; 47:1364-1369.
doi: 10.1016/j.ejso.2021.02.018 pmid: 33642087 |
[15] | Liu C, Cheng XQ, He FW, Li Y, Lin J, Liu SS, et al. UItrasonic characters and clinical features of thyroid metastatic carcinom. Chinese J Ultrasound Med 2021; 37:941-944. |
[16] | Prasad HL, Permi HS, Bhat V, Ninan K, Kumar SY, Shetty KJ. Metastatic squamous cell carcinoma of oesophagus presenting as solitary nodule thyroid; a case repor. Indian J Surg Oncol 2012; 3:41-43. |
[17] |
Straccia P, Mosseri C, Brunelli C, Rossi ED, Lombardi CP, Pontecorvi A, et al. Diagnosis and treatment of metastases to the thyroid gland: a meta-analysi. Endocr Pathol 2017; 28:112-120.
doi: 10.1007/s12022-017-9475-6 |
[18] |
Enăchescu V, Popescu M, Bistriceanu M. Conventional and doppler ultrasound in thyroid disease diagnosi. Rev Med Chir Soc Med Nat Iasi 2006; 110:511-520.
pmid: 17571538 |
[19] | Jia ZY, Wu XL, Zhang YH, Ma BL, Ma FC. The correlation between ultrasonographic features, bFGF, and the local invasiveness of thyroid papillary carcinom. Medicine (Baltimore) 2020; 99:e20644. |
[20] | Zhang B, Niu HM, Wu Q, Zhou J, Jiang YX, Yang X, et al. Comparison of clinical and ultrasonographic features of poorly differentiated thyroid carcinoma and papillary thyroid carcinom. Chin Med J (Engl) 2016; 129:169-173. |
[21] |
Li W, Song Q, Lan Y, Li J, Zhang Y, Yan L, et al. The value of sonography in distinguishing follicular thyroid carcinoma from adenom. Cancer Manag Res 2021; 13:3991-4002.
doi: 10.2147/CMAR.S307166 |
[22] |
Zhao J, Yang F, Wei X, Mao Y, Mu J, Zhao L, et al. Ultrasound features value in the diagnosis and prognosis of medullary thyroid carcinom. Endocrine 2021; 72:727-734.
doi: 10.1007/s12020-020-02510-2 |
[23] |
Choi N, Moon WJ, Lee JH, Baek JH, Kim DW, Park SW. Ultrasonographic findings of medullary thyroid cancer: differences according to tumor size and correlation with fine needle aspiration result. Acta Radiol 2011; 52:312-316.
doi: 10.1258/ar.2010.100247 |
[24] |
Gu LS, Cui NY, Wang Y, Che SN, Zou SM, He W, et al. Comparison of sonographic characteristics of primary thyroid lymphoma and anaplastic thyroid carcinom. J Thorac Dis 2017; 9:4774-4784.
doi: 10.21037/jtd.2017.09.48 |
[25] | Xi LL, Chen YQ, Jiang J, Zhu YK, Guan WB, Qu YH, et al. The value of contrast enhanced ultrasound in breast cancer biopsy. Chin J Ultrasonogr2019:782-786. [In Chinese] |
[26] | Zhang Y, Jiang Q, Chen J, Zhang YX, He Z, Gu XM, et al. Relationship between characteristics of thyroid carcinomas in real-time contrast-enhanced ultrasound and tumor size. Chin J Med Imaging Technol 2012; 28:82-85. [In Chinese] |
[27] | Zhang JQ, Zhan WW, Xu HX. Ultrasound-guided fine needle aspiration cytological examination of thyroid nodules: a practical guideline (2019 edition). Advanced Ultrasound in Diagnosis and Therapy 2021; 02:134-152. |
[28] |
Yoon JH, Kim EK, Kwak JY, Moon HJ. Effectiveness and limitations of core needle biopsy in the diagnosis of thyroid nodules: review of current literatur. J Pathol Transl Med 2015; 49:230-235.
doi: 10.4132/jptm.2015.03.21 |
[1] | Xiaojuan Yang, MD, Huihui Yang, MD, Yu He,MD, PhD. Diagnostic Values of CEUS, CECT and CEMRI for Renal Cystic Lesions on the Current Bosniak Criterion-A Meta-analysis [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(4): 165-173. |
[2] | Ping Xu, MM, Heping Deng, MD, Bo Lu, MD, Yaru Mi, MM. Peripheral Nerve Lipomatosis: Pathology, Clinical Features, Imaging Diagnosis and Treatment [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(4): 174-179. |
[3] | Srinivasan S, MD, Neeti Aggarwal, MD, Sushma Makhaik, MD, Anupam Jhobta, MD. Role of Lung Ultrasound in Diagnosing and Differentiating Transient Tachypnea of Newborn and Respiratory Distress Syndrome in Preterm Neonates [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(3): 112-118. |
[4] | Nianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS. Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(3): 119-121. |
[5] | Guiwu Chen, MS, Wenqin Liu, MS, Zhizhong He, PhD, Xiaomin Liao, MS, Yuhuan Xie, PhD. Contrast-enhanced Ultrasound Features of Lymphoepithelioma-Like Cholangiocarcinoma with Multiple Metastases: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(3): 122-124. |
[6] | Xuehong Diao, MD, Lin Chen, MD, Bo Yu, MS, Jiamei Jin, MS, Jia Zhan, MD, Yue Chen, BS. Follicular Thyroid Neoplasmon Conventional and Contrast-enhanced Ultrasound [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(2): 48-57. |
[7] | Jiaqi Zhao, MD, Weiqing Li, MD, Xiaolin Ma, MD, Rui Chen, MD, Lin Chen, MD. Incidental Ultrasound Findings of a Giant Retroperitoneal Schwannoma: A Case Study [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(2): 64-67. |
[8] | Danqing Huang, MS, Min Tang, MS, Aimei Li, MD, Decai Yu, MD, Jun Chen, MD, Min Wu, MS, Wenping Wang, MD, Wentao Kong, MD. Neurofibromatosis with Intrahepatic, Retroperitoneal and Pelvic Involvement: A Case Report and Literature Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(1): 29-32. |
[9] | Yue Yu, MM, Ling Zhang, MM, Bangwei Zeng, MM, Zhikui Chen, PhD. Comparison of Diagnostic Efficacy of US, CT, and MRI for Pancreatic Intraductal Papillary Mucinous Neoplasms [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(4): 291-297. |
[10] | Jialin Song, MS, Xiang Liu, MD, Jianquan Zhang, MD, Jiaqi Zhao, MD, Lulu Zhao, MS. Quantitative Evaluation of Cirrhosis by Geometrical Characteristics of Hepatic Capsule Based on High-frequency Ultrasound Imaging: an Experimental Study [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(4): 298-303. |
[11] | Shiyun Peng, MM, Pan Yang, MM, Jinzhou Wan, MM, Siyu Yue, MB, Ling Wang, MB, Xiyue Zhang, MB, Fan Yang, MD. Prenatal Ultrasound Diagnosis of Klippel-trenaunay Syndrome Associated with the Thickened Thigh and Dilated Inferior Vena Cava: A Case Report and Literature Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(4): 313-316. |
[12] | Wanru Jia, MD, Jingwen, Zhang, MD, Yijie Dong, MD, Ying Zhu, MD, Xiaohong Jia, MD, Weiwei Zhan, MD, Jianqiao Zhou, MD. Characterization of Breast Lesions: Comparison between Three-dimensional Ultrasound and Automated Volume Breast Ultrasound [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(3): 204-211. |
[13] | The Professional Committee of Vascular Ultrasound of Stroke Prevention and Treatment Expert, Committee of the National Health Commission , The Professional Committee of Superficial Organ and Peripheral Vascular Ultrasound of the Chinese Medical Ultrasound Engineering , The Professional Committee of Craniocerebral and Cervical Vascular Ultrasound of the Chinese Medical Ultrasound Engineering . Expert Consensus on Some Issues of Cerebral and Carotid Vascular Ultrasonography [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(2): 153-162. |
[14] | Lingyun Jia, MD, Yang Hua, MD, Xunming Ji, MD, Kaiyuan Zhang, MD, Shengnan Li, MD, Yu Tang, MD, Yingqi Xing, MD. The Morphology and Hemodynamic Characteristics of Patients with Internal Jugular Vein Stenosis [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(2): 73-79. |
[15] | Yi Chen, MB, Xia Liu, MB, Run Wang, MD, Xiaona Lin, MM, Jieyu Zhong, MD, Yan Chen, MM, Huali Cai, MB, Yongbin Li, MM, Zhicheng Li, MD, Zhengming Hu, MD, Desheng Sun, MD. Ultrasound Radiomics in Breast Cancer - A Literature Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(1): 12-17. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
Share: WeChat
Copyright ©2018 Advanced Ultrasound in Diagnosis and Therapy
|
Advanced Ultrasound in Diagnosis and Therapy (AUDT) a>
is licensed under a Creative Commons Attribution 4.0 International License a>.