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Abstract

The varied presentations of papillary thyroid carcinoma cervical nodal disease: CT and MR findings.

P M Som, M Brandwein, M Lidov, W Lawson and H F Biller
American Journal of Neuroradiology June 1994, 15 (6) 1123-1128;
P M Som
Department of Radiology, Mount Sinai School of Medicine, City University of New York.
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M Brandwein
Department of Radiology, Mount Sinai School of Medicine, City University of New York.
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M Lidov
Department of Radiology, Mount Sinai School of Medicine, City University of New York.
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W Lawson
Department of Radiology, Mount Sinai School of Medicine, City University of New York.
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H F Biller
Department of Radiology, Mount Sinai School of Medicine, City University of New York.
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Abstract

PURPOSE To review the varied presentations of metastatic cervical lymph node disease in patients with papillary thyroid carcinoma.

METHODS Thirteen cases were retrospectively collected and their clinical, imaging, surgical, and pathologic material was reviewed. In the cases reviewed there was no clinical or imaging evidence of a primary thyroid mass.

RESULTS On CT, metastatic nodes can have multiple discrete calcifications, appear as benign cysts or hyperplastic or hypervascular nodes, or have areas of high attenuation which reflect intranodal hemorrhage and/or high concentrations of thyroglobulin. On MR, the nodes can have low to intermediate T1- and high T2-weighted signal intensities or high T1- and T2-weighted signal intensities, the latter reflecting primarily a high thyroglobulin content.

CONCLUSION If any of these varied appearances of cervical lymph nodes are identified on CT or MR, especially in a woman between 20 and 40 years of age, the radiologist should suspect the diagnosis of papillary thyroid carcinoma, even in the absence of a thyroid mass.

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American Journal of Neuroradiology
Vol. 15, Issue 6
1 Jun 1994
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The varied presentations of papillary thyroid carcinoma cervical nodal disease: CT and MR findings.
P M Som, M Brandwein, M Lidov, W Lawson, H F Biller
American Journal of Neuroradiology Jun 1994, 15 (6) 1123-1128;

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The varied presentations of papillary thyroid carcinoma cervical nodal disease: CT and MR findings.
P M Som, M Brandwein, M Lidov, W Lawson, H F Biller
American Journal of Neuroradiology Jun 1994, 15 (6) 1123-1128;
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Cited By...

  • Performance of CT in the Preoperative Diagnosis of Cervical Lymph Node Metastasis in Patients with Papillary Thyroid Cancer: A Systematic Review and Meta-Analysis
  • Sonographic Features of Cervical Lymph Nodes After Thyroidectomy for Papillary Thyroid Carcinoma
  • The Role of MR Imaging in Detecting Nodal Disease in Thyroidectomy Patients with Rising Thyroglobulin Levels
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