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Updated: Jul 16, 2026
Synchronous Triplanar Reconstruction Integrated with Color Doppler Mapping for Precise and Rapid Localization of Thyroid Lesions
Published on: February 9, 2024
CASTLE tumour of the thyroid. Value of multiplanar imaging acquisition
Mario Musella1, Stefano De Franciscis, Andrea Amorosi
1General and Emergency Surgery, "Federico II" University, Naples, Italy. dimusell@unina.it
Background And Objective:
Thyroid carcinomas thymus-like differentiation (CASTLE) are rare. The aim of this paper is to address a valid diagnostic and therapeutic protocol for these tumours using three exemplary cases and the previously published literature.
Methods:
The routine use of Magnetic Resonance Imaging (MRI) in all cases of unclear thyroid fine needle aspiration cytology (FNAC) or in cases of multiple neck masses.
Results:
Three cases of thyroid CASTLE tumours, finally confirmed by histology, are evaluated. All three patients remain in good conditions after an aggressive surgical approach followed by radiotherapy.
Conclusions:
MRI should be routinely used in cases of unclear FNAC or multiple neck masses, Surgery and radiotherapy are effective to manage thyroid CASTLE tumours.
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