title: [Thyroid gland and parathyroid gland changes in ultrasound (real time B image)].
abstract: Using a high-resolution real-time B-imager, examinations of the thyroid and parathyroid glands of 112 patients revealed small focal lesions (more than 3 mm diameter: thyroid gland, parathyroid gland) as well as diffuse alterations (thyroid gland). The following focal lesions were found: Adenomas of the parathyroid gland (n = 9), haemangiomas of thyroid gland (n = 3), adenomas of thyroid gland (n = 2), metastases into the thyroid gland (n = 7), primary cancer of the thyroid gland or its recurrence (n = 3) and metastases of different cancers in soft tissue of the neck regions (n = 8). A struma nodosa was diagnosed in 15 patients. With regard to diffuse alterations of the thyroid gland, atrophies (n = 6), aplasieas of 1 lobe (n = 2), thyreoiditides (n = 3), and struma diffuse (n = 5). In 49 of 52 cases morphological alterations of the thyroid gland could be excluded, while for the other 3 patients, who had been operated on in the region of the neck, no final evaluation was possible. On comparing these findings with the results of computed tomography and scintigraphy, ultrasound as a screening method showed the highest sensitivity while its specificity could be enlarged by considering the results of scintigraphy. Decision by ultrasound only as to whether a focal lesion was benign or malignant was only possible under certain circumstances. However, a histological diagnosis could not be made by ultrasound.
mesh_terms: D000236:Adenoma / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis; D006965:Hyperplasia; D008875:Middle Aged; D010279:Parathyroid Diseases / Q000175:diagnosis*; D010280:Parathyroid Glands / Q000473:pathology; D010282:Parathyroid Neoplasms / Q000175:diagnosis; D013959:Thyroid Diseases / Q000175:diagnosis*; D013964:Thyroid Neoplasms / Q000175:diagnosis; D013966:Thyroiditis / Q000175:diagnosis; D014463:Ultrasonography
vernacular_title: Schilddrüsen- und Nebenschilddrüsenveränderungen im Ultraschall (real-time-B-Bild).