Sonografie der Schilddrüse - Teil 2: Schilddrüsenentzündungen, Schilddrüsenfunktionsstörungen und Interventionen

 

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Core statements

• Sonography of the thyroid is a method of high diagnostic certainty provided sufficient experience in the examination and good technical equipment.

• Subacute thyroiditis de Quervain may be diagnosed conclusively by B-image sonography (hypoechoic lesions) in more than 90 % of cases if clinical symptoms (pain in the neck, laboratory signs of inflammation) are typical.

• Following iatrogeneous hypothyroidism, chronic lymphocytic thyroiditis is the most common cause of adult hypothyroidism.

• Clinical findings, laboratory values (thyroid hormones, and facultatively, thyroid antibodies) and color Doppler sonography findings (including PSV) are indicative in the differential diagnosis of disturbances of thyroid function.

• Scintigraphy is employed for the diagnosis of autonomous nodules > 1 - 1.5 cm.

• Fine-needle puncture cytology is the most precise and cost-effective procedure for confirming a diagnosis in the case of thyroid nodules suspicious of malignancy.

• If the indication for the procedure is sound, ethanol instillation therapy (PEIT) of autonomous thyroid adenomas is an effective and, in the hands of an experienced examiner, also low-risk method which may be performed on an ambulatory basis.

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Dr. Wolfgang Blank

Medizinische Klinik I, Klinikum am Steinenberg Reutlingen

Steinenbergstr. 31

72764 Reutlingen

Phone: ++ 49/71 21/2 00 35 21

Fax: ++ 49 71 21/2 00 34 91

Email: blank_w@kreiskliniken-reutlingen.de