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Pitfalls in the follow-up of cervical and mediastinal goitres: role of CT imaging

Published online by Cambridge University Press:  29 June 2007

Ohad Cohen ,
Pearl Herskovitz ,
Bella Shindell ,
Sara Leiba  and
Herzlia Hadar
Ohad Cohen
Affiliation:
The Endocrinology Unit for Adults, Shatkai Outpatient Clinic, Beilinson Medical Centre, Petah Tiqva, Sackler School of Medicine, Tel Aviv University, Israel.
Pearl Herskovitz
Affiliation:
Radiology Department, Shatkai Outpatient Clinic, Beilinson Medical Centre, Petah Tiqva, Sackler School of Medicine, Tel Aviv University, Israel.
Bella Shindell
Affiliation:
The Endocrinology Unit for Adults, Shatkai Outpatient Clinic, Beilinson Medical Centre, Petah Tiqva, Sackler School of Medicine, Tel Aviv University, Israel.
Sara Leiba
Affiliation:
The Endocrinology Unit for Adults, Shatkai Outpatient Clinic, Beilinson Medical Centre, Petah Tiqva, Sackler School of Medicine, Tel Aviv University, Israel.
Herzlia Hadar*
Affiliation:
Radiology Department, Shatkai Outpatient Clinic, Beilinson Medical Centre, Petah Tiqva, Sackler School of Medicine, Tel Aviv University, Israel.
*
Dr Herzlia Hadar, M.D., Radiology Department, Shatkai Outpatient Clinics, Beilinson Medical Centre, Petah Tiqva 49100, Israel.
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Abstract

Four patients with cervical and mediastinal goitres were described. Routine investigation in these patients, including chest X-rays, oesophageal and tracheal X-rays and scintigraphy of the thyroid gland, failed to show significant changes over the years, or underestimated the true extent of the goitres. Three of the goitres caused severe mediastinal compression, evident only on computed tomography (CT) imaging, and requiring urgent surgery. The pros and cons of different diagnostic modalities for imaging cervical and mediastinal gotires are discussed, stressing the importance of CT imaging as exemplified in the cases presented.

Keywords

Thyroid glandMediastinumImage processing, computer assisted
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 65 - 70
Copyright
Copyright © JLO (1984) Limited 1992

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References

Alfonso, A., Christoudias, G., Amaruddin, Q., Herbsman, H., Gardner, B. (1981) Tracheal or esophageal compression due to benign thyroid disease. American Journal of Surgery, 142: 350–354.CrossRefGoogle ScholarPubMed
Allo, M. D., Thompson, N. W. (1983) Rationale for the operative management of substernal goitres. Surgery, 94L: 969–977.Google Scholar
Arger, P. H., Jenning, A. S., Gordon, L. F., Beverly, G. G., Axel, L., Kressel, H. Y., Baron, R. L. (1985) Computed tomography findings in clinically normal and abnormal thyroid patients. CT: Journal of Computed Tomography, 9: 111–117.CrossRefGoogle Scholar
Bashist, B., Ellis, K., Gold, R. P. (1983) Computed tomography intrathoracic goitres. American Journal of Roentgenology, 140: 455–460.CrossRefGoogle Scholar
Glazer, G. M., Azel, L., Moss, A. A. (1982) CT diagnosis of mediastinal thyroid. American Journal of Roentgenology, 138: 495–498.CrossRefGoogle ScholarPubMed
Irwin, R. S., Braman, S. S., Arvanitidis, A. N. (1979) I131 thyroid scanning in preoperative diagnosis of mediastinal goitre. Annals of Internal Medicine, 89: 73–74.CrossRefGoogle Scholar
Katlic, M. R., Chic-an, wang, Grillo, H. C. (1985) Substernal goitre. Annals of Thoraric Surgery, 39: 391–399.CrossRefGoogle Scholar
McKitrick, W. L., Park, H. M., Kosegi, J. E. (1985) Parallax error in pinhole thyroid scintigraphy: a critical consideration in the evaluation of substernal goitres. Journal of Nuclear Medicine, 26: 418–420.Google Scholar
Morris, U. L., Colletti, P. M., Rails, P. W., Boswell, W. D., Lapin, S. A., Qinn, M., Halls, J. M. (1982) CT demonstration of intrathoracic thyroid tissue. Journal of Computerized Assisted Tomography, 6: 821–824.CrossRefGoogle ScholarPubMed
Park, H. M., Traver, R. D., Siddiqui, A. R., Schauwecker, D. S., Wellman, H. M. (1987) Efficacy of thyroid scintigraphy in the diagnosis of intrathoracic goitre. American Journal of Roentgenology, 148: 527–529.CrossRefGoogle Scholar
Sabiston, D. C. (1986) ed. Textbook of Surgery, 13th edition, W. B. Saunders: Phildelphia.Google Scholar
Sandler, M. P., Pattar, J. A., Sacks, G. A., Shaff, M. I., Kulkarni, M. V., Partain, C. L. (1984) Evaluation of intrathoracic goitre with I123 scintigraphy and nuclear magnetic resonance imaging. Journal of Nuclear Medicine, 25: 874–876.Google ScholarPubMed
Shih, W. J., Cho, S. R., Purcell, M., Tsung-Yao, H., Domstad, P. A., Liu, C. I., Deland, F. H. (1984) Diagnostic imaging in mediastinal thyroid tumour. Clinical Nuclear Medicine, 9: 702–707.CrossRefGoogle Scholar