European Society of Paediatric Radiology, Budapest, Jun 7, 2013
Title: Paediatric Thyroid Masses
Purpose & Objective
1) To assess the referral pattern and ... more Title: Paediatric Thyroid Masses
Purpose & Objective
1) To assess the referral pattern and demographics of thyroid masses in a paediatric population at a large secondary care centre.
2) To summarise the clinical and radiological characteristics of thyroid pathology in children.
3) To emphasise the role of imaging in management of thyroid disease.
Materials & Methods:
The study group was obtained by analysing the reports from all neck, thyroid, parotid and submandibular gland ultrasounds performed on all patients aged 16 years or less over a 7 year period.
Results:
500 children were scanned in total. The majority (n = 218, 43.6 %) showed lymphadenopathy. A total of 39 (7.8 %) patients had thyroid pathology including 11 with nodules. 5 patients underwent surgical resection of nodules (2 hyperplastic nodules, 2 benign adenomas, 1 parathyroid adenoma and 1 papillary carcinoma).
Other common diagnoses were diffuse goitres (1 %) and absent/ ectopic thyroid
(1 %). Less common diagnoses included Graves’ disease and thyroiditis (0.6 %).
Discussion & Conclusions:
We present the range of thyroid conditions presenting in a general paediatric population and their characteristic imaging appearances. All patients had at least one ultrasound and many were managed with ultrasound follow-up alone. Cross-sectional imaging and nuclear medicine scans were very infrequently performed. Characteristic ultrasound findings together with US FNA and clinical correlation were the mainstay of patient management, allowing a confident diagnosis in most cases.
European Society of Paediatric Radiology, Budapest, Jun 7, 2013
Title: Paediatric Thyroid Masses
Purpose & Objective
1) To assess the referral pattern and ... more Title: Paediatric Thyroid Masses
Purpose & Objective
1) To assess the referral pattern and demographics of thyroid masses in a paediatric population at a large secondary care centre.
2) To summarise the clinical and radiological characteristics of thyroid pathology in children.
3) To emphasise the role of imaging in management of thyroid disease.
Materials & Methods:
The study group was obtained by analysing the reports from all neck, thyroid, parotid and submandibular gland ultrasounds performed on all patients aged 16 years or less over a 7 year period.
Results:
500 children were scanned in total. The majority (n = 218, 43.6 %) showed lymphadenopathy. A total of 39 (7.8 %) patients had thyroid pathology including 11 with nodules. 5 patients underwent surgical resection of nodules (2 hyperplastic nodules, 2 benign adenomas, 1 parathyroid adenoma and 1 papillary carcinoma).
Other common diagnoses were diffuse goitres (1 %) and absent/ ectopic thyroid
(1 %). Less common diagnoses included Graves’ disease and thyroiditis (0.6 %).
Discussion & Conclusions:
We present the range of thyroid conditions presenting in a general paediatric population and their characteristic imaging appearances. All patients had at least one ultrasound and many were managed with ultrasound follow-up alone. Cross-sectional imaging and nuclear medicine scans were very infrequently performed. Characteristic ultrasound findings together with US FNA and clinical correlation were the mainstay of patient management, allowing a confident diagnosis in most cases.
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Papers by Heather Stirling
Purpose & Objective
1) To assess the referral pattern and demographics of thyroid masses in a paediatric population at a large secondary care centre.
2) To summarise the clinical and radiological characteristics of thyroid pathology in children.
3) To emphasise the role of imaging in management of thyroid disease.
Materials & Methods:
The study group was obtained by analysing the reports from all neck, thyroid, parotid and submandibular gland ultrasounds performed on all patients aged 16 years or less over a 7 year period.
Results:
500 children were scanned in total. The majority (n = 218, 43.6 %) showed lymphadenopathy. A total of 39 (7.8 %) patients had thyroid pathology including 11 with nodules. 5 patients underwent surgical resection of nodules (2 hyperplastic nodules, 2 benign adenomas, 1 parathyroid adenoma and 1 papillary carcinoma).
Other common diagnoses were diffuse goitres (1 %) and absent/ ectopic thyroid
(1 %). Less common diagnoses included Graves’ disease and thyroiditis (0.6 %).
Discussion & Conclusions:
We present the range of thyroid conditions presenting in a general paediatric population and their characteristic imaging appearances. All patients had at least one ultrasound and many were managed with ultrasound follow-up alone. Cross-sectional imaging and nuclear medicine scans were very infrequently performed. Characteristic ultrasound findings together with US FNA and clinical correlation were the mainstay of patient management, allowing a confident diagnosis in most cases.
Purpose & Objective
1) To assess the referral pattern and demographics of thyroid masses in a paediatric population at a large secondary care centre.
2) To summarise the clinical and radiological characteristics of thyroid pathology in children.
3) To emphasise the role of imaging in management of thyroid disease.
Materials & Methods:
The study group was obtained by analysing the reports from all neck, thyroid, parotid and submandibular gland ultrasounds performed on all patients aged 16 years or less over a 7 year period.
Results:
500 children were scanned in total. The majority (n = 218, 43.6 %) showed lymphadenopathy. A total of 39 (7.8 %) patients had thyroid pathology including 11 with nodules. 5 patients underwent surgical resection of nodules (2 hyperplastic nodules, 2 benign adenomas, 1 parathyroid adenoma and 1 papillary carcinoma).
Other common diagnoses were diffuse goitres (1 %) and absent/ ectopic thyroid
(1 %). Less common diagnoses included Graves’ disease and thyroiditis (0.6 %).
Discussion & Conclusions:
We present the range of thyroid conditions presenting in a general paediatric population and their characteristic imaging appearances. All patients had at least one ultrasound and many were managed with ultrasound follow-up alone. Cross-sectional imaging and nuclear medicine scans were very infrequently performed. Characteristic ultrasound findings together with US FNA and clinical correlation were the mainstay of patient management, allowing a confident diagnosis in most cases.