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CT features of thyroid nodules with isolated macrocalcifications detected by ultrasonography

Ultrasonography 2020년 39권 2호 p.130 ~ 136
Paik Woo-Yul, 나동규, Gwon Hye-Yun, 김진나,
소속 상세정보
 ( Paik Woo-Yul ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
나동규 ( Na Dong-Gyu ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
 ( Gwon Hye-Yun ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
김진나 ( Kim Jin-Na ) - Yonsei University College of Medicine Department of Radiology

Abstract


Purpose: A thyroid nodule with an isolated macrocalcification is visualized as a calcified nodule with complete posterior shadowing on ultrasonography (US). This study aimed to determine the computed tomography (CT) features of isolated macrocalcifications detected using US.

Methods: This study included 20 patients who had thyroid nodules with isolated macroalcifications and underwent neck CT or chest CT. The patients were enrolled from a sample of 82 patients with isolated macrocalcifications detected by US drawn from 7,142 consecutive patients who underwent thyroid biopsy at two institutions. We evaluated the CT features of nodules with isolated macrocalcifications and categorized them as central or rim calcifications. We assessed the nodule size and the frequency of nondiagnostic fine-needle aspiration (FNA) results and malignant tumors according to the CT features of isolated macrocalcifications.

Results: CT scans showed central calcifications in 18 (90.0%) and rim calcifications in two (10.0%) of the 20 nodules with isolated macrocalcifications. Among the 18 nodules with central isolated macrocalcifications, complete compact calcification was found in six nodules and partial coarse calcification in 12 nodules. In 18 nodules with central isolated macrocalcifications, the nondiagnostic FNA rate and frequency of malignant tumors were not significantly different between complete and partial central calcifications (P=0.620 and P=0.999, respectively). Malignant tumors were only found in nodules with central isolated macrocalcifications.

Conclusion: The majority of nodules with isolated macrocalcifications showed central calcifications on CT. Thyroid nodules with isolated macrocalcifications detected by US should not be classified as having a type of rim or peripheral calcification.

키워드

Thyroid nodule; Calcinosis; Diagnosis; Ultrasonography; Multidetector computed tomography

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