Standards of the Polish Ultrasound Society - update Ultrasound examination of
thyroid gland and ultrasound-guided thyroid biopsy
#MMPMID26676167
Trzebi?ska A
; Dobruch-Sobczak K
; Jakubowski W
; J?drzejowski M
J Ultrason
2014[Mar]; 14
(56
): 49-60
PMID26676167
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Ultrasonography is a primary imaging technique in patients with suspected thyroid
disease. It allows to assess the location, size and echostructures of the thyroid
gland as well as detect focal lesions, along with indication of their size,
echogenicity, echostructure and vascularity. Based on these features, ultrasound
examination allows to predict abnormal focal lesions for biopsy and monitor the
biopsy needle track. This paper presents the standards of thyroid ultrasound
examination regarding ultrasound apparatus technical requirements, scanning
techniques, readings, measurements, and the description of the examination. It
discusses the ultrasound features of increased malignancy risk in focal lesions
(nodules) found in the thyroid gland. It presents indications for fine needle
aspiration biopsy of the thyroid gland for the visibility of single nodules
(focal lesions) and numerous lesions as well as discusses contraindications for
thyroid biopsy. It describes the biopsy technique, possible complications and
rules for post-biopsy monitoring of benign lesions. The paper is an update of the
Standards of the Polish Ultrasound Society issued in 2011. It has been prepared
on the basis of current literature, taking into account the information contained
in the following publications: Thyroid ultrasound examination and Recommendations
of the Polish Ultrasound Society for the performance of the FNAB of the thyroid.
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