Article ID Journal Published Year Pages File Type
4233325 Journal of Medical Ultrasound 2011 6 Pages PDF
Abstract

Diffuse sclerosing variant of papillary thyroid carcinoma (DSVPTC) is a rare entity. The purpose of this article is to analyze the sonographic findings of DSVPTC. The sonograms of 17 patients (12 females and 5 males) ranging in age from 8 years to 49 years (mean 24.1 years) with hisopathologically proven DSVPTC were retrospectively analyzed. Of the 17 patients, 70% (12 of 17) had thyroid masses ranging from 0.4 cm to 4.5 cm in diameter. Diffused and scattered microcalcifications with heterogeneous hypoechogenecity were noted in all cases. Involvement of supra/infraclavicular lymph nodes and cervical lymph nodes were found in nine cases (53%), whereas involvement of only cervical lymph nodes was seen in six cases (35%). Regional lymphadenopathy was not observed in two cases (12%). Among the thyroid lesions with or without underlying mass, the blood flow pattern were Adler Score III in eight cases (47%), Score II in two cases (12%), Score I in five cases (29%) and Score 0 in two cases (12%). Sonography is an important diagnostic tool that may help diagnosis of DSVPTC.

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