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American Journal of Roentgenology, Vol 96, 596-603, Copyright © 1966 by American Roentgen Ray Society

ROENTGENOGRAPHIC DIAGNOSIS OF THYROID CANCER IN THE PRESENCE OF ENDEMIC GOITER

SERVIO TULIO ERAZO M.D.1 and HEINZ W. WAHNER M.D.2

1 Head, Section of Diagnostic Radiology, Universidad del Valle, Facultad de Medicina, Cali, Colombia, S. A.
2 Assistant Professor, Department of Medicine

The value of soft tissue roentgenography of the neck in patients with thyroid disease from an endemic goiter area was studied. In 47 patients with thyroid carcinoma, 21 with nodular parenchymatous goiter, 5 with colloid goiter and 2 with bacterial thyroiditis, soft tissue roentgenography facilitated the differential diagnosis only in tumors more than 70 gm. of estimated weight (Grade III and IV). It was found to be more difficult to distinguish colloid goiter and thyroiditis than nodular goiter from carcinoma by roentgenologic signs alone. Invasion of the trachea, anterior displacement of the trachea, calcifications, and small lateral displacement of the trachea in the presence of a large cervical mass were of value in the differential diagnosis in this sequence.


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Copyright © 1966 by the American Roentgen Ray Society.