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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 157 - 163 (7page)
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Ultrasonography is pivotal in triage thyroid biopsy in the era after the identification of noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP). This pictorial essay illustrates the pathologic basis of the sonographic features that distinguish NIFTP from thyroid cancers. In this study, we present the correlations of ultrasonography to ×1 histopathology to assess shape and margin characteristics. Markedly hypoechoic nodules correlate to microfollicular/solid nodules, while isoechoic/hyperechoic thyroid nodules correlate to normofollicular/macrofollicular nodules. The ultrasound findings of NIFTP and minimally invasive encapsulated thyroid cancers are similar. Both are well-circumscribed, oval-to-round nodules with regular margins. Blurred or microlobulated margins indicate infiltrating tumors, while lobulated margins are characteristic of expansile tumors. Overtly invasive encapsulated tumors are characterized by oval-to-round nodules with irregular or lobulated margins. The ultrasound findings for infiltrative thyroid cancers show at least one of the following malignant features: marked hypoechoicity, taller-than-wide shape, microcalcifications, and blurred or microlobulated margins.
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참고문헌 (9)
참고문헌 신청
Nikiforov YE / 2016 / Nomenclature revision for encapsulated follicular variant of papillary thyroid carcinoma: a paradigm shift to reduce overtreatment of indolent tumors / JAMA Oncol 2:1023~1029
Kim EK / 2002 / New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid / AJR Am J Roentgenol 178:687~691
곽진영 / 2013 / Image Reporting and Characterization System for Ultrasound Features of Thyroid Nodules: Multicentric Korean Retrospective Study / Korean Journal of Radiology 14(1):110~117
Yoon JH / 2017 / Diagnosis and management of small thyroid nodules: a comparative study with six guidelines for thyroid nodules / Radiology 283:560~569
Kwak JY / 2011 / Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk / Radiology 260:892~899
Kim EK / 2002 / New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid / AJR Am J Roentgenol 178:687~691
곽진영 / 2013 / Image Reporting and Characterization System for Ultrasound Features of Thyroid Nodules: Multicentric Korean Retrospective Study / Korean Journal of Radiology 14(1):110~117
Yoon JH / 2017 / Diagnosis and management of small thyroid nodules: a comparative study with six guidelines for thyroid nodules / Radiology 283:560~569
Kwak JY / 2011 / Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk / Radiology 260:892~899
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