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[Thyroid metastases: the echographic and computed tomographic aspects]

F Ferrozzi1, F Campodonico, F De Chiara

  • 1Istituto di Scienze Radiologiche, Università degli Studi di Parma.

La Radiologia Medica
|January 31, 1998
PubMed
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Thyroid metastases from various cancers can present with varied imaging findings on ultrasonography (US) and computed tomography (CT). Fine needle biopsy is crucial for accurate diagnosis of these uncommon secondary thyroid lesions.

Area of Science:

  • Oncology
  • Radiology
  • Pathology

Background:

  • Neoplastic diseases can metastasize to unusual sites, including the thyroid gland.
  • Integrated diagnostic approaches aid in detecting these metastatic lesions.

Purpose of the Study:

  • To review ultrasonographic (US) and Computed Tomographic (CT) patterns of secondary thyroid lesions.
  • To compare imaging findings with primary tumor histopathologic diagnosis.

Main Methods:

  • Review of 10 thyroid metastases diagnosed between 1986 and 1995.
  • Analysis of imaging findings (US and CT) and correlation with primary tumor histology.
  • Diagnosis confirmed by cytology, histology, or surgery.

Main Results:

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  • Primary tumors included breast cancer, melanoma, lung cancer, stomach adenocarcinoma, renal carcinoma, colon carcinoma, and leiomyosarcoma.
  • Thyroid lesions were unifocal, multifocal, or diffusely infiltrating.
  • US revealed hypoechoic lesions; CT showed hypodense areas with mild enhancement. Patterns varied with necrosis, hemorrhage, or calcification.

    • Conclusions:

    • Imaging findings for thyroid metastases are often nonspecific or atypical.
    • Fine needle biopsy is recommended for suspicious thyroid lesions for accurate staging and follow-up.