Naoki Kutuya1, Yoshihisa Kurosaki. 1. Department of Radiology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. hollyhock22@hotmail.com
Abstract
OBJECTIVE: The purpose of this study was to clarify the sonographic features of thyroglossal duct cysts (TDCs) in children. We also investigated how the presence of inflammation influences the sonographic appearance. METHODS: We reviewed the sonograms from 36 children (0.5-14 years old) with pathologically proven TDCs. The lesions were evaluated for location, shape, internal echo pattern, internal septa, wall thickness, posterior enhancement, solid components, margins, and fistulas. The sonographic features of 7 lesions that pathologically showed inflammation were also investigated. RESULTS: Most TDCs were midline (77.8%), were located at the hyoid bone (44.4%) or were infrahyoid (38.9%), showed posterior enhancement (77.8%), were unilocular (86.1%), lacked internal septa (91.7%), and had a thin wall (75%). None had a solid component. The internal echo patterns were classified into 4 types: anechoic (25%), homogeneously hypoechoic (16.7%), pseudosolid (16.7%), and heterogeneous (41.6%). Inflammation was confirmed in 78% of the lesions with wall thickening and 100% of the lesions with internal septa. CONCLUSIONS: Most TDCs in children had echogenicity ranging from hypoechoic to heterogeneous. A thick wall and internal septa were considered to correlate with the presence of inflammation but not with the internal echo patterns of TDCs.
OBJECTIVE: The purpose of this study was to clarify the sonographic features of thyroglossal duct cysts (TDCs) in children. We also investigated how the presence of inflammation influences the sonographic appearance. METHODS: We reviewed the sonograms from 36 children (0.5-14 years old) with pathologically proven TDCs. The lesions were evaluated for location, shape, internal echo pattern, internal septa, wall thickness, posterior enhancement, solid components, margins, and fistulas. The sonographic features of 7 lesions that pathologically showed inflammation were also investigated. RESULTS: Most TDCs were midline (77.8%), were located at the hyoid bone (44.4%) or were infrahyoid (38.9%), showed posterior enhancement (77.8%), were unilocular (86.1%), lacked internal septa (91.7%), and had a thin wall (75%). None had a solid component. The internal echo patterns were classified into 4 types: anechoic (25%), homogeneously hypoechoic (16.7%), pseudosolid (16.7%), and heterogeneous (41.6%). Inflammation was confirmed in 78% of the lesions with wall thickening and 100% of the lesions with internal septa. CONCLUSIONS: Most TDCs in children had echogenicity ranging from hypoechoic to heterogeneous. A thick wall and internal septa were considered to correlate with the presence of inflammation but not with the internal echo patterns of TDCs.
Authors: Jackie Chou; Andrew Walters; Robert Hage; Anna Zurada; Maciej Michalak; R Shane Tubbs; Marios Loukas Journal: Surg Radiol Anat Date: 2013-05-21 Impact factor: 1.246
Authors: Gustavo Cancela E Penna; Henrique Gomes Mendes; Adele O Kraft; Cynthia Koeppel Berenstein; Bernardo Fonseca; Wagner José Martorina; Andreise Laurian N R de Souza; Gustavo Meyer de Moraes; Kamilla Maria Araújo Brandão Rajão; Bárbara Érika Caldeira Araújo Sousa Journal: Case Rep Endocrinol Date: 2017-02-08
Authors: Yoo Jin Lee; Dong Wook Kim; Gi Won Shin; Jin Young Park; Hye Jung Choo; Ha Kyoung Park; Tae Kwun Ha; Do Hun Kim; Soo Jin Jung; Ji Sun Park; Sung Ho Moon; Ki Jung Ahn; Hye Jin Baek Journal: Med Sci Monit Date: 2019-12-14