Ultrasonography (US) has become the modality of choice for surveillance of the neck following thyroidectomy for thyroid cancer. US detection of metastatic disease allows for image-guided biopsy when abnormal lymph nodes or thyroid bed findings are identified in the post thyroidectomy setting.
The aim of the education exhibit is to:
1. Demonstrate US technique for adequate surveillance of the post thyroidectomy neck
2. Present expected and pathological post surgical findings
1. Introduction
a. The role of US in local surveillance of post thyroidectomy patients
b. Technique for adequate evaluation of thyroidectomy patients
c. Common sites of metastatic disease
2. Normal appearance of the neck status post thyroidectomy
3. Sonographic findings of metastatic disease
a. Recurrent disease in the thyroid bed
b. Metastatic lymph nodes
c. Micrometastatic disease to lymph nodes
d. Extranodal extension from metastatic lymph nodes
4. Non-malignant post-operative soft tissue findings
a. Suture granulomas
b. Postoperative granulomatous changes
c. Esophageal diverticulum
d. Post-operative neuroma
e. Lymphadenopathy unrelated to thyroid malignancy
f. Parathyroid adenoma
5. Mimics of pathology
a. Hyperplastic nodes
b. Thyroid cartilage
c. Thyroid remnant tissue
d. Cervical thymus
Mulugeta, P,
Jones, L,
Langer, J,
Ultrasound Surveillance of the Thyroid Cancer Patient: Review of Technique and Common Pitfalls. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14011781.html