Pharyngoesophageal (Zenker's) diverticulum mimicking thyroid nodule on ultrasonography: report of two cases.

Kumar, Alka; Aggarwal, Shashi; Pham, DL

doi:10.7863/jum.1994.13.4.319

Cited by 36 publications

(36 citation statements)

References 1 publication

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“…In addition, they may compress the esophagus and cause symptoms of dysphagia or discomfort, which may sometimes be the cause for the sonographic examination. 3 Sonographic findings of pharyngoesophageal diverticula may mimic those of a thyroid nodule. Both may appear as an oval to round lesion with or without a hypoechoic surrounding wall.…”

Section: Discussionmentioning

confidence: 99%

Real-time Sonography of Killian-Jamieson Diverticulum and Its Differentiation From Thyroid Nodules

Mercer

Blachar²,

Khafif³

et al. 2005

Journal of Ultrasound in Medicine

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Section: Discussionmentioning

confidence: 99%

Real-time Sonography of Killian-Jamieson Diverticulum and Its Differentiation From Thyroid Nodules

Mercer

Blachar²,

Khafif³

et al. 2005

Journal of Ultrasound in Medicine

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“…The diagnostic rate is closely associated with the doctor's working attitude and practical skill. Due to the existence of air bubbles and food material, diverticula can be imaged as heterogeneous internal echoes with strong echogenic foci, which strongly suggest microcalcifications of papillary thyroid cancer (4,18). Thus, in order to avoid unnecessary treatment resulting from a misdiagnosis, principles to distinguish between esophageal diverticula and thyroid nodules should be noted clearly.…”

Section: Discussionmentioning

confidence: 99%

“…Pharyngoesophageal diverticula, including KillianJamieson diverticulum (KJD) and Zenker's diverticulum (ZD), are rare hypopharyngeal diverticula that could easily be misdiagnosed as thyroid nodules (2,4,5). ZD was reported to be the most common diverticula of the esophagus, but the rate of KJD was only about a forth of that of ZD (6,7).…”

Section: Introductionmentioning

confidence: 99%

Killian-Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review

Cao

Zhao

et al. 2016

Oncology Letters

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Abstract. As a rare hypopharyngeal diverticulum, Killian-Jamieson diverticulum (KJD) is usually incidentally detected, small, asymptomatic and likely to be misdiagnosed as a thyroid nodule. In order to avoid unnecessary treatments resulting from misdiagnosis, principles to distinguish between esophageal diverticula and thyroid nodules should be noted clearly. The current study presents a case of an asymptomatic unilateral KJD that mimicked a calcified thyroid nodule. In the current case, a 40-year-old man presented with a 'suspected malignant thyroid nodule' in the left thyroid gland, and underwent left thyroid lobectomy and a neck exploration. However, no visible 'suspected tumor', but a sac protruding from the left anterolateral wall of the cervical esophagus, was observed during the surgery. A swallow test on ultrasonography (US) in combination with pharyngoesophagography was then performed, which confirmed the diagnosis. The patient recovered well during the 3-month follow-up after the operation. The present study indicates that real-time US and pharyngoesophagography are important techniques to distinguish a KJD from a thyroid nodule so that unnecessary surgical intervention can be avoided.

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“…Ein thyreoidaler Abzess, der durchaus gleiche sonographische Veränderungen hervorrufen kann, ist zum einen selten und er lässt sich auch aufgrund der fehlenden Anamnese ausschließen [7]. Bei den sonographisch darstellbaren Divertikeln sollen sich allein aufgrund der Lage (linkslateral) überproportional viele Killian-Jamieson-Divertikel finden.…”

Section: Introductionunclassified

Zur sonographischen Differenzialdiagnose des Schilddrüsenknotens

Abrams¹

2011

HNO

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Esophagography is the standard diagnostic method for diverticulum of the pharyngoesophageal junction. Less known is detection of the diverticulum during thyroid gland ultrasonography. Thyroid nodules located near the left trachea with a hyperechogenic border, beneath which a hypoechogenic zone and an echogenic center are seen, are highly suspicious for diverticulum of the hypopharynx/esophagus and should be investigated further. Postoperative follow-up is facilitated by the rapid sonographic involution of the preoperatively described nodule.

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Pharyngoesophageal (Zenker's) diverticulum mimicking thyroid nodule on ultrasonography: report of two cases.

Cited by 36 publications

References 1 publication

Real-time Sonography of Killian-Jamieson Diverticulum and Its Differentiation From Thyroid Nodules

Real-time Sonography of Killian-Jamieson Diverticulum and Its Differentiation From Thyroid Nodules

Killian-Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review

Zur sonographischen Differenzialdiagnose des Schilddrüsenknotens

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