By Jean Noël Bruneton MD, Tito Livraghi MD (auth.), Professor Jean Noël Bruneton MD (eds.)

Throughout the realm, sonography is frequently the 1st and occasionally the single imaging modality for use after medical exam. this can be relatively precise for the cervical zone. This publication experiences the sonographic positive aspects of the cervical buildings, together with the thyroid, parathyroids, salivary glands, lymph nodes, larynx and hypopharynx, and blood vessels. unique morphological descriptions of diverse pathological procedures are supplied, through thorough dialogue of differential diagnostic difficulties. The position of all the new technical modalities, together with high-definition grey scale, more desirable colour Doppler, and ultrasound distinction brokers, is totally thought of. The remaining bankruptcy is dedicated to using cervical sonography in pediatrics.

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3%), which led the authors to conclude that when FNA is in favor of benignity, there is no need to be more aggressive when a nodule is visualized or appears during the course of Graves' disease. In contrast, KRAIMPS et al. 4%. These authors therefore advocate systematic surgery for all thyroid nodules discovered in patients with Graves' disease. Thyrotoxicosis factitia (BOGAZZI et al. 1996), caused by use of exogenous thyroid hormones, can be diagnosed by elevated IT3 and IT4levels, very low TSH and serum Tg, the absence of antithyroid antibodies, and absent or markedly decreased radionuclide uptake.

1983). The tumor generally invades the adjacent structures (esophagus, muscles, vessels). Weakly echoic enlarged nodes are common. The sonographic patterns of primary thyroid lymphoma vary considerably (Figs. 35). According to TAKASHIMA et al. (I995c), the predominant pattern is a solitary hypo echoic mass; multinodular disease is much less common (two of 11 cases for these authors). Multiple, very hypoechoic nodules, occasionally with posterior reinforcement, may be associated with bilaterallaterocervicallymphadenopathy (KOMATSU et al.

The "dominant nodule" concept was developed in an attempt to overcome the problem encountered in detection of focal nodules within an inhomogeneous thyroid. This nodule corresponds to the largest thyroid mass or to the mass that differs the most from the remainder of the thyroid at US (Fig. 22). This is the nodule that should be biopsied with priority in search of a possible malignancy (TESSLER and TUBLIN 1999). Literature results concerning levothyroxine suppressive therapy vary considerably. For LIMA et al.

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