Table 1. US Findings and Additional Studies of Thyroid Nodules.
US Findings | Genetic and Additional Study | |
---|---|---|
Benign | ||
Cyst | Complete cyst | |
Hyperplastic nodule | Cystic lesion with comet tail artifact | |
Spongiform cystic nodule | ||
Intrathyroid thymus | Similar US findings to normal thymus | |
Malignancy | ||
Papillary cancer | Suspicious malignant nodule | BRAF |
Diffusely enlarged gland with numerous microcalcifications | RET/PTC | |
Diffuse infiltration mimic thyroiditis | ||
Medullary cancer | Similar to PTC | Calcitonin |
Follicular cancer | Indeterminate nodule | RAS mutations |
PAX8/PPARγ rearrangement | ||
Aneuploidy |
Note.- BRAFV600E mutation = B type raf kinase, PAX8/PPARγ rearrangement = paired box 8-peroxisome proliferator-activated receptor gamma, RAS = rat sarcoma, RET/PTC oncogene = rearranged during transfection/papillary thyroid carcinoma, US = ultrasonography