Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00051909.xml
Angewandte Nuklearmedizin 2023; 46(02): 181-187
DOI: 10.1055/a-1979-9200
DOI: 10.1055/a-1979-9200
Ultraschall in der Nuklearmedizin
Der interessante Fall
Extrathyreoidale Nebenbefunde bei der Schilddrüsensonografie
Incidental extrathyroidal findings on thyroid ultrasound
Zusammenfassung
Bei der sonografischen Untersuchung der Schilddrüse (SD) fallen regelmäßig extrathyreoidale Nebenbefunde auf, die je nach ihrer klinischen Relevanz einer weiterführenden Abklärung bedürfen können. Von besonderer Bedeutung sind dabei unter anderem klinisch inapparente Nebenbefunde, die jedoch für den Patienten eine therapeutische Konsequenz haben, wie zum Beispiel Karotisstenosen oder Nebenschilddrüsenadenome. Es ist daher wichtig, zervikale Nebenbefunde zu erkennen und richtig einzuordnen, um so, wenn erforderlich, weiterführende Bildgebung zu veranlassen und andere Fachabteilungen einzubinden.
Abstract
Ultrasound examinations of the thyroid gland regularly reveal extrathyroidal findings which, depending on their relevance, may require further clarification. Of particular relevance are, for example, clinically inapparent findings, which however, have a therapeutic consequence for the patient, such as carotid stenosis or parathyroidadenomas.
It is therefore important to recognize and correctly classify cervical incidental findings in order to initiate further procedures, such as additional imaging and referral to other departments, if necessary.
Schlüsselwörter
Ultraschall - extrathyreoidal - Nebenbefunde - Carotisstenose - Nebenschilddrüsenadenom - EpidermoidzysteKeywords
ultrasound - extrathyroidal - incidental findings - carotid stenosis parathyroid adenoma - epidermoid cystPublication History
Article published online:
26 May 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 Robert Koch-Institut (Hrsg) und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V. (Hrsg). Krebs in Deutschland für 2017/2018. Zentrum für Krebsregisterdaten; Berlin: 2021. 13. Aufl..
- 2 Kraywinkel K, Zeissig SR. Epidemiology of CUP syndrome in Germany. Springer Med Verl GmbH 2017; 23: 966-973
- 3 Tian Z, Li L, Wang L. et al. Salivary gland neoplasms in oral and maxillofacial regions: a 23-year retrospective study of 6982 cases in an eastern Chinese population. Int J Oral Maxillofac Surg 2010; 39: 235-242 DOI: 10.1016/j.ijom.2009.10.016. (PMID: 19951834)
- 4 Ma’aita JK, Al-Kaisi N, Al-Tamimi S. et al. Salivary gland tumors in Jordan: a retrospective study of 221 patients. Croat Med J 1999; 40: 539-542 (PMID: 10554362)
- 5 Bilezikian JP, Cusano NE, Khan AA. et al. Primary hyperparathyroidism. Nat Rev Dis Primer. 2016; 2: 16033 DOI: 10.1007/s00198-016-3716-2. (PMID: 27613721)
- 6 Arkema EV, Cozier YC. Sarcoidosis epidemiology: recent estimates of incidence, prevalence and risk factors. Curr Opin Pulm Med 2020; 26: 527-534 DOI: 10.1097/MCP.0000000000000715. (PMID: 32701677)
- 7 De Ponte FS, Brunelli A, Marchetti E. et al. Sublingual epidermoid cyst. J Craniofac Surg 2002; 13: 308-310 DOI: 10.1097/00001665-200203000-00024. (PMID: 12000893)
- 8 Thompson LDR. Thyroglossal Duct Cyst. Ear Nose Throat J 2017; 96: 54-55 DOI: 10.1177/014556131709600204. (PMID: 28231361)
- 9 Blum CA, Yaghi S. Cervical Artery Dissection: A Review of the Epidemiology, Pathophysiology, Treatment, and Outcome. Arch Neurosci 2015; 2: e26670 DOI: 10.5812/archneurosci.26670. (PMID: 26478890)
- 10 Eckstein HH. S3-Leitlinie zur „Diagnostik, Therapie und Nachsorge der extracraniellen Carotisstenose“. Gefässchirurgie 2012; 17: 495-496
- 11 Tessler FN, Middleton WD, Grant EG. et al. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol JACR 2017; 14: 587-595 DOI: 10.1016/j.jacr.2017.01.046. (PMID: 28372962)
- 12 Al-Khateeb TH, Al-Masri NM, Al-Zoubi F. Cutaneous cysts of the head and neck. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg 2009; 67: 52-57 DOI: 10.1016/j.joms.2007.05.023. (PMID: 19070748)
- 13 Lee KI, Namgoong S, You HJ. et al. Epidemiological characteristics and importance of lobulation of giant epidermal cysts: An 18-year retrospective review of 19 cases. Medicine (Baltimore) 2022; 101: e29978 DOI: 10.1097/MD.0000000000029978. (PMID: 35945748)
- 14 Hoang VT, Trinh CT, Nguyen Ch. et al. Overview of epidermoid cyst. Eur J Radiol Open 2019; 6: 291-301 DOI: 10.1016/j.ejro.2019.08.003. (PMID: 31516916)
- 15 Zito PM, Scharf R. Epidermoid Cyst. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2022 Accessed November 29, 2022 at: http://www.ncbi.nlm.nih.gov/books/NBK499974/
- 16 Walker MD, Silverberg SJ. Primary hyperparathyroidism. Nat Rev Endocrinol 2018; 14: 115-125 DOI: 10.1038/nrendo.2017.104. (PMID: 28885621)
- 17 Kuzminski SJ, Sosa JA, Hoang JK. Update in Parathyroid Imaging. Magn Reson Imaging Clin N Am 2018; 26: 151-166 DOI: 10.1016/j.mric.2017.08.009. (PMID: 29128002)
- 18 Taterra D, Wong LM, Vikse J. et al. The prevalence and anatomy of parathyroid glands: a meta-analysis with implications for parathyroid surgery. Langenbecks Arch Surg 2019; 404: 63-70
- 19 Rampp RD, Mancilla EE, Adzick NS. et al. Single Gland, Ectopic Location: Adenomas are Common Causes of Primary Hyperparathyroidism in Children and Adolescents. World J Surg 2020; 44: 1518-1525 DOI: 10.1007/s00268-019-05362-8. (PMID: 31900569)
- 20 Bunch PM, Kelly HR. Preoperative Imaging Techniques in Primary Hyperparathyroidism: A Review. JAMA Otolaryngol – Head Neck Surg 2018; 144: 929-937 DOI: 10.1001/jamaoto.2018.1671. (PMID: 30193297)
- 21 Schenk WG, Hanks JB, Smith PW. Surgeon-performed ultrasound for primary hyperparathyroidism. Am Surg 2013; 79: 681-685 (PMID: 23816000)
- 22 Adami S, Marcocci C, Gatti D. Epidemiology of primary hyperparathyroidism in Europe. J Bone Miner Res Off J Am Soc Bone Miner Res 2002; 17 (Suppl. 02) N18-N23 (PMID: 12412773)
- 23 Marcocci C, Saponaro F. Epidemiology, pathogenesis of primary hyperparathyroidism: Current data. Ann Endocrinol 2015; 76: 113-115 DOI: 10.1016/j.ando.2015.03.015. (PMID: 25916761)
- 24 Abood A, Vestergaard P. Increasing incidence of primary hyperparathyroidism in Denmark. Dan Med J 2013; A4567.
- 25 de Tristan J, Zenk J, Bozzato A. et al. Mediane Halszysten und Halsfisteln – Eine Retrospektive Untersuchung vom Patientengut 1992–2011. Dtsch Ges Für Hals-Nasen-Ohren-Heilkd Kopf- Hals-Chir 83 Jahresversamml Dtsch Ges Für Hals-Nasen-Ohren-Heilkd Kopf- Hals-Chir Mainz 16–20052012 Düsseld Ger Med Sci GMS Publ House 2012 Doc12hnod150 Dtsch Ges Für Hals-Nasen-Ohren-Heilkd Kopf- Hals-Chir 83 Jahresversamml Dtsch Ges Für Hals-Nasen-Ohren-Heilkd Kopf- Hals-Chir Mainz 16–20052012 Düsseld Ger Med Sci GMS Publ House 2012 Doc12hnod150. doi:10.3205/12hnod150. 2012
- 26 Cohnen M, Dammann F, Rohde S. Referenz Radiologie – Kopf/Hals [Internet]. Stuttgart: Georg Thieme Verlag; 2020. Accessed November 29, 2022 at: http://www.thieme-connect.de/DOI/DOI?10.1055/b-006-163218
- 27 Cordes M, Coerper S, Kuwert T. et al. Ultrasound Imaging of Cervical Anatomic Variants. Curr Med Imaging 2021; 17: 966-972 DOI: 10.2174/1573405617666210127162328. (PMID: 33504311)
- 28 Chou J, Walters A, Hage R. et al. Thyroglossal duct cysts: anatomy, embryology and treatment. Surg Radiol Anat 2013; 35: 875-881 DOI: 10.1007/s00276-013-1115-3. (PMID: 23689821)