Evaluation of Substernal Goiters Using Computed Tomography and MR Imaging

Jennings, Andrew T.

doi:10.1016/s0889-8529(05)70192-4

Cited by 37 publications

(21 citation statements)

References 22 publications

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“…are useful in the assessment of substernal goiter and the compression or invasion of adjacent structures, such as the trachea (34). Although 18 FDG-PET is useful in the differentiation between benign and malignant lesions (35), this technique is still not readily accessible and is quite expensive.…”

Section: Neck Ultrasoundmentioning

confidence: 99%

Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus

Rosário

Ward

Carvalho

et al. 2013

Arq Bras Endocrinol Metab

122

147

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Thyroid nodules are frequent findings, especially when sensitive imaging methods are used. Although thyroid cancer is relatively rare, its incidence is increasing, particularly in terms of small tumors, which have an uncertain clinical relevance. Most patients with differentiated thyroid cancer exhibit satisfactory clinical outcomes when treatment is appropriate, and their mortality rate is similar to that of the overall population. However, relapse occurs in a considerable fraction of these patients, and some patients stop responding to conventional treatment and eventually die from their disease. Therefore, the challenge is how to identify the individuals who require more aggressive disease management while sparing the majority of patients from unnecessary treatments and procedures. We have updated the Brazilian Consensus that was published in 2007, emphasizing the diagnostic and therapeutic advances that the participants, representing several Brazilian university centers, consider most relevant in clinical practice. The formulation of the present guidelines was based on the participants' experience and a review of the relevant literature. Arq Bras Endocrinol Metab. 2013;57(4):240-64 Keywords Thyroid nodules; thyroid cancer; Brazilian consensus; update RESUMO Nódulos tireoidianos são muito frequentes, sobretudo quando se empregam métodos sensí-veis de imagem. Embora o câncer seja proporcionalmente raro, sua incidência vem aumentando, especialmente de tumores pequenos, cuja evolução clínica é incerta. A maioria dos pacientes com carcinoma diferenciado de tireoide evolui bem quando adequadamente tratada, com índices de mortalidade similares à população geral. Por outro lado, um percentual não desprezível apresenta recidivas e alguns eventualmente não respondem às terapias convencionais, evoluindo para óbito. Assim, o desafio é distinguir os pacientes merecedores de condutas mais agressivas e, ao mesmo tempo e não menos importante, poupar a maioria de tratamentos e procedimentos desnecessários. Atualizamos o Consenso Brasileiro publicado em 2007, ressaltando os avanços diagnósticos e terapêuticos que os participantes, de diferentes Centros Universitários do Brasil, consideram mais relevantes para prática clínica. A elaboração dessas diretrizes foi baseada na experiência dos participantes e revisão da literatura pertinente. Arq Bras Endocrinol Metab. 2013;57(4):240-64 Descritores

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Section: Neck Ultrasoundmentioning

confidence: 99%

Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus

Rosário

Ward

Carvalho

et al. 2013

Arq Bras Endocrinol Metab

122

147

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“…The standard posterior-anterior and lateral chest X-rays are considered the single most valuable diagnostic tools with regard to the study of substernal goiters extending into the thorax as these radiographs can provide valuable information about the compression of the trachea. In emergent circumstances, however, a further assessment with US or CT is necessary given the severity of airway obstruction [5] . This is however restricted to cases which present to us in respiratory failure or acute respiratory compromise.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Sudden Onset of Respiratory Distress Due to a Retrosternal Goiter Presenting to the Emergency Department

Dhingra¹

2017

jmscr

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“…9) [35]. While physical examination alone may be sufficient to warrant the use of these scans, the case for first performing an ultrasound is still strong.…”

Section: Ct and Mri Scansmentioning

confidence: 99%

Evaluation and Imaging of a Thyroid Nodule

Coltrera

2008

Surgical Oncology Clinics of North America

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Evaluation of Substernal Goiters Using Computed Tomography and MR Imaging

Cited by 37 publications

References 22 publications

Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus

Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus

A Rare Case of Sudden Onset of Respiratory Distress Due to a Retrosternal Goiter Presenting to the Emergency Department

Evaluation and Imaging of a Thyroid Nodule

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