KMID : 1103720100630020097
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Journal of the Korean Society of Radiology 2010 Volume.63 No. 2 p.97 ~ p.102
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Ultrasonographic Findings of Papillary Thyroid Cancer with or without Hashimoto¡¯s Thyroiditis
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Park Jun-Young
Lee Tae-Hyun Park Dong-Hee
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Abstract
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Purpose: This study was designed to compare the ultrasonographic features of papillary thyroid carcinoma with and without Hashimoto¡¯s thyroiditis.
Materials and Methods: This retrospective study included 190 patients with papillary thyroid carcinoma which was proven by neck surgery. The difference in the ultrasonographic findings between papillary thyroid carcinoma with Hashimoto¡¯s thyroiditis and papillary thyroid carcinoma without Hashimoto¡¯s thyroiditis were calculated statistically.
Results: Hashimoto¡¯s thyroiditis was diagnosed in 61 of 190 patients following neck surgery. The incidence of coexisting papillary thyroid carcinoma with Hashimoto¡¯s thyroiditis was significantly higher in women (p=0.0026). In addition, the frequency of macrocalcification in patients with Hashimoto¡¯s thyroiditis was also significantly higher (p=0.0009). Conversely,other ultrasonographic findings including the shape, margin, echogenicity and calcifications, for patients with papillary thyroid carcinoma with Hashimoto¡¯s thyroiditis and papillary thyroid carcinoma without Hashimoto¡¯s thyroiditis, were not statistically significant. We also found that patients with Hashimoto¡¯s thyroiditis who showed no calcification on ultrasonography tended not to detect the papillary carcinoma at a higher frequency.
Conclusion: On ultrasonography, macrocalcifications occurred more frequently in patients with Hashimoto¡¯s thyroiditis than those without Hashimoto¡¯s thyroiditis. Malignant thyroid nodules without calcifications in patients with Hashimoto¡¯s thyroiditis more often could not be detected. Therefore, it is important carefully examine patients with Hashimoto¡¯s thyroiditis.
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KEYWORD
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Hashimoto¡¯s Disease, Ultrasonography, Thyroid neoplasm, Papillary carcinoma
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