This atlas attracts on a multidisciplinary method of offer a accomplished assessment on endocrine problems of the top and neck, with specific emphasis at the position of imaging and image-guided methods. the 1st part discusses the fundamental features of the imaging equipment and different innovations used for evaluate and prognosis. the rest of the e-book makes a speciality of program of those tools in thyroid, parathyroid, and different endocrine problems of the top and neck. The insurance is extensive ranging, encompassing Graves’ sickness, poisonous multinodular goiter, poisonous adenoma, thyroiditis, non-toxic goiter, benign nodules, and the various types of thyroid carcinoma, in addition to parathyroid adenoma, hyperplasia, and carcinoma and paragangliomas. Informative, top of the range pictures are supplied by means of foreign specialists in endocrine issues, together with endocrinologists, pathologists, radiologists, nuclear medication physicians, and surgeons, who additionally talk about pattern instances and supply syntheses of the suitable clinical literature.
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Additional info for Atlas of Head and Neck Endocrine Disorders: Special Focus on Imaging and Imaging-Guided Procedures
Endocr Pract 17:456–520 7 Thyroid Autonomy Luca Giovanella Abstract Hyperfunctioning thyroid adenomas are benign monoclonal tumors characterized by their capacity to grow and produce thyroid hormone autonomously independently from thyrotropin feedback. This chapter provides a brief summary on thyroid autonomy, including some diagnostic and therapeutic aspects. Furthermore typical diagnostic images of thyroid autonomy are discussed. 1 Introduction Solitary hyperfunctioning thyroid adenomas are benign monoclonal tumors characterized by their capacity to grow and produce thyroid hormone autonomously independently from thyrotropin Prof.
Microscopically, the thyroid epithelium can present a wide range of variations, from atrophic with flat cells to hyperplastic with cuboidal thyrocytes. Nuclei are usually centrally located, round, with inconspicuous nucleoli, and with coarse granular chromatin . 34 M. Bongiovanni and A. Nobile Fig. 3 Papillary thyroid carcinoma (PTC), histology H&E and cytology PAP (lower inset). In this oncocytic variant of PTC, cells are larger than in the classic variant of PTC, because of an increased content of eosinophilic and granular cytoplasm.
EI should preferentially be considered as the first-line treatment for relapsing thyroid cysts. The thermo-ablative techniques, instead, may be used as alternative to surgery in patients with solid benign thyroid nodules causing aesthetic problems or compressive symptoms, achieving a significant volume reduction. Nodules best responsive to the thermal procedures seem to be the spongiform, followed by mixed and compact ones . Less appropriate indications are large nodular goiters, multinodular thyroid disease, or deeply positioned lesions.