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A Swin Transformer-Based Model for Thyroid Nodule Detection in Ultrasound Images
Published on: April 21, 2023
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Thyroid Lymphoepithelial Cysts Mimicking Calcified or Solid Nodules on Ultrasonography
Yukie Tsutsuura1, Mitsuyoshi Hirokawa2, Ayana Suzuki1
1Kuma Hospital, Department of Clinical Laboratory, Kobe, Japan.
Ultrasound International Open
|July 6, 2019
Summary
Thyroid lymphoepithelial cysts (TLECs) often present atypical ultrasonography (US) findings, mimicking calcified or solid nodules. Awareness of these diverse US appearances is crucial for accurate diagnosis of these rare thyroid lesions.
Area of Science:
- Endocrinology
- Radiology
- Pathology
Background:
- Thyroid lymphoepithelial cysts (TLECs) are rare thyroid neoplasms.
- Detailed ultrasonography (US) findings for TLECs are not well-documented.
Purpose of the Study:
- To meticulously examine the US characteristics of 32 TLECs.
- To identify diagnostic challenges associated with TLECs on US.
Main Methods:
- Retrospective analysis of 32 TLECs resected from 21 patients.
- Review of pre-operative US reports and images.
- Correlation of US findings with histological examination.
Main Results:
- Four TLEC types identified: cystic (50%), mixed (12.5%), pseudo-solid (12.5%), and pseudo-calcified (25%).
- Pseudo-calcified TLECs were smallest (mean 7.1 mm).
- Histology revealed no calcification or intramural solid growth, despite US interpretations.
Conclusions:
- Approximately 50% of TLECs do not appear as simple cysts on US.
- TLECs can mimic calcified or solid nodules, posing diagnostic difficulties.
- Increased awareness of varied US presentations is necessary for TLEC diagnosis.
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