Thyroid and parathyroid gland pathology: Role of imaging

D. M. Yousem, A. M. Scheff

Research output: Contribution to journalReview articlepeer-review

Abstract

There are many imaging modalities available for studying thyroid and parathyroid masses. For the thyroid gland the demonstration of a hyperfunctioning or purely cystic mass by scintigraphy and ultrasound reassures that a palable nodule is not cancer. Solitary, cold r solid nodules often requires biopsy because or suspicion of malignancy. Metabolic and inflammatory disorders are imaged best with nuclear medicine studies whereas congenital thyroid lesions are evaluated best with computed tomography or MR imaging. In the search for a parathyroid adenoma, MR imaging and technetium- 99m sestamibi studies appear to be most accurate, but because of its low cost, ultrasound has a favorable role. In previously operated patients with persistent hyperparathyroidism, MR imaging is probably most useful, but multiple imaging studies may be needed for definitive localization of adenomas.

Original languageEnglish (US)
Pages (from-to)621-649
Number of pages29
JournalOtolaryngologic Clinics of North America
Volume28
Issue number3
StatePublished - Jan 1 1995
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology

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