Proposed ultrasound algorithm to differentiate thyroglossal duct and dermoid cysts

Tokarz, Ellen; Gupta, Puneet; McGrath, John; Szymanowski, Adam R.; Behar, Jerry; Behar, Philomena

doi:10.1016/j.ijporl.2021.110624

Cited by 5 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The purpose of this study was to provide further validation for previously reported algorithms for the analysis of preoperative US in pediatric congenital neck masses. SIST score was reported to have a sensitivity of 84% and PPV of 91%, 8 while repeat study found an accuracy of only 67% 9 . Our study demonstrated similar, if not improved, results with a sensitivity of 92%, PPV of 85%, and overall accuracy of 84%.…”

Section: Discussionsupporting

confidence: 67%

“…Our study demonstrated similar, if not improved, results with a sensitivity of 92%, PPV of 85%, and overall accuracy of 84%. The 4S algorithm has previously been shown to have a sensitivity, specificity, and accuracy of 100% 9 . Our study was unable to replicate this degree of certainty using the 4S algorithm.…”

Section: Discussioncontrasting

confidence: 55%

“…The 4S algorithm has previously been shown to have a sensitivity, specificity, and accuracy of 100%. 9 Our study was unable to replicate this degree of certainty using the 4S algorithm. This study demonstrated 4S had a sensitivity of 89%, a specificity of 75%, and an accuracy of 84%.…”

Section: Discussionmentioning

confidence: 71%

“…Pitner et al 8 demonstrated that the SIST score significantly outperformed clinical and standard US diagnosis, with a sensitivity of 84%, and positive predictive value (PPV) of 91%. Tokarz et al 9 found the SIST score to have an accuracy of only 67%, but demonstrated the 4S algorithm had a 100% accuracy. The goal of this study is to further validate the SIST and 4S algorithms for reproducibility in differentiating between DC and TGDC, relative to standard US and clinical diagnosis at a single institution.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Diagnosing Midline Neck Masses: Comparing Clinical Exam, the SIST Score, and the 4S Algorithm

Bertoni

Kim

May

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveTo validate and compare novel ultrasound scoring systems for dermoid cysts and thyroglossal duct cysts among pediatric patients.Study DesignRetrospective study.SettingTertiary care children's hospital.MethodsAn electronic medical record query of patients younger than 18 years old who underwent primary excision of a neck mass between January 2005 and February 2022, who underwent preoperative ultrasound, and had final histopathologic diagnosis of either thyroglossal duct cysts or dermoid cysts. This generated 260 results, of which 134 patients met the inclusion criteria. Charts were reviewed for demographic data, clinical impressions, and radiographic studies. Radiologists blindly reviewed ultrasound for SIST score (septae + irregular walls + solid components = thyroglossal), and 4S algorithm (Septations, depth relative to Strap muscles, Shape, Solid parts). Statistical analyses were performed to determine the accuracy of each diagnostic modality.ResultsOf 134 patients, 90 (67%) had a final histopathologic diagnosis of thyroglossal duct cysts, and 44 (33%) were dermoid cysts. The accuracy of clinical diagnosis was 52%, and preoperative ultrasound report accuracy was 31%. The 4S and SIST accuracies were each 84%.ConclusionBoth the 4S algorithm and SIST score provide increased accuracy of diagnosis relative to standard preoperative ultrasound assessment. Neither scoring modality was determined to be superior. Further research is warranted in improving the accuracy of preoperative assessments for pediatric congenital neck masses.

show abstract

Section: Discussionsupporting

confidence: 67%

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 71%

mentioning

confidence: 99%

See 2 more Smart Citations

Diagnosing Midline Neck Masses: Comparing Clinical Exam, the SIST Score, and the 4S Algorithm

Bertoni

Kim

May

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Mucous glands may also be present. C-cells are not present in thyroglossal duct cysts due to the different embryologic origin [5][6][7].…”

Section: Gross and Histopathological Featuresmentioning

confidence: 98%

Diagnostic Approach to Congenital Cystic Masses of the Neck from a Clinical and Pathological Perspective

et al. 2021

View full text Add to dashboard Cite

Background: neck cysts are frequently encountered in pediatric medicine and can present a diagnostic dilemma for clinicians and pathologists. Several clinical items enable to subclassify neck cyst as age at presentation, anatomical location, including compartments and fascia of the neck, and radiological presentation. Summary: this review will briefly describe the clinical, imaging, pathological and management features of (I) congenital and developmental pathologies, including thyroglossal duct cyst, branchial cleft cysts, dermoid cyst, thymic cyst, and ectopic thymus; (II) vascular malformations, including lymphangioma. Key Messages: pathologists should be familiar with the diagnostic features and clinicopathologic entities of these neck lesions in order to correctly diagnose them and to provide proper clinical management.

show abstract

Cutaneous Ultrasonography in Pediatric Dermatology

Bandera

2022

Textbook of Dermatologic Ultrasound

View full text Add to dashboard Cite

Proposed ultrasound algorithm to differentiate thyroglossal duct and dermoid cysts

Cited by 5 publications

References 9 publications

Diagnosing Midline Neck Masses: Comparing Clinical Exam, the SIST Score, and the 4S Algorithm

Diagnosing Midline Neck Masses: Comparing Clinical Exam, the SIST Score, and the 4S Algorithm

Diagnostic Approach to Congenital Cystic Masses of the Neck from a Clinical and Pathological Perspective

Cutaneous Ultrasonography in Pediatric Dermatology

Contact Info

Product

Resources

About