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Workup of a neck mass includes a medical history and a physical examination, where important characteristics are location, size, shape, consistency, tenderness, mobility, and color. [4] When this is not conclusive, further workup includes: Blood tests; Medical imaging: Contrast CT is generally the initial study of choice for adults. [4]
According to the recent American Thyroid Association guidelines, an upper chest and neck CT scan with IV contrast should be obtained when: 1) neck US is inadequate in visualizing possible local nodal disease (high Tg, negative neck US, and RAI imaging); 2) US is not able to delineate the disease completely, as in the case of bulky recurrent ...
Ultrasound imaging of ATC lesions reveals a hypoechoic mass (appears dark on ultrasound) with invasion of the local structures and may help to better characterize the presence or absence of neck lymph node metastases. [2] If surgery is planned, however, then a contrast-enhanced computed tomography (CT) scan of the neck must be performed. [2]
Papillary thyroid carcinoma is usually discovered on routine examination as an asymptomatic thyroid nodule that appears as a neck mass. In some instances, the mass may have produced local symptoms. This mass is normally referred to a fine needle aspiration biopsy (FNA) for investigation. FNA accuracy is very high and it is a process widely used ...
A common sign is a neck growth. It may be found at birth, or discovered later in an infant after an upper respiratory tract infection. [8] Cystic hygromas can grow very large and may affect breathing and swallowing. Some symptoms may include a mass or lump in the mouth, neck, cheek, or tongue. It feels like a large, fluid-filled sac.
Conventional CT and MRI should be performed with cuts of 10 mm or less in slice thickness contiguously. Spiral CT should be performed using a 5 mm contiguous reconstruction algorithm. This applies to tumors of the chest, abdomen and pelvis. Head and neck tumors and those of extremities usually require specific protocols.
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The TI-RADS (Thyroid Imaging Reporting and Data Systems) are sonographic classification systems which describe the suspicious findings of thyroid nodules. [12] It was first proposed by Horvath et al., [13] based on the BI-RADS (Breast Imaging Reporting and Data System) concept. Several systems were subsequently proposed and adopted by ...