Incidental finding of papillary thyroid carcinoma on CT examination of mandibular lesion: Case report

Sugianto,Irfan; Yanagi,Yoshinobu; Konouchi,Hidenobu; Hisatomi,Miki; Okada,Shunsuke; Bamgbose,Babatunde  O.; Asaumi,Junichi

doi:10.3892/mco.2017.1478

Incidental finding of papillary thyroid carcinoma on CT examination of mandibular lesion: Case report

Authors:
- Irfan Sugianto
- Yoshinobu Yanagi
- Hidenobu Konouchi
- Miki Hisatomi
- Shunsuke Okada
- Babatunde O. Bamgbose
- Junichi Asaumi
View Affiliations

Affiliations: Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700‑8558, Japan, Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital, Okayama 700-8530, Japan, Department of Oral and Maxillofacial Radiology, Okayama University, Okayama 700-8530, Japan
Published online on: November 2, 2017 https://doi.org/10.3892/mco.2017.1478
Pages: 183-187

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The number of significant incidental findings identified on radiographic examinations has increased. In total, 169 patients, 87 males and 82 females, with a mean age of 67.3 years (range, 17‑92 years), as well as 65 patients (38.5%), 43 (66.2%) female and 22 (33.8%) male had abnormal findings in the thyroid for one year in our institution. Thyroid nodules are the most common incidental findings on oral and maxillofacial evaluations. Computed tomography (CT) and magnetic resonance imaging (MRI) examination are frequently used to detect thyroid abnormality. The present study reported a case of papillary thyroid carcinoma (PTC) detected following CT and MRI examination of a mandibular lesion. The CT examination of the oral and maxillofacial region included the thyroid, which must be examined carefully to detect various diseases, including PTC. Collaboration between radiologists and clinicians is important to manage these incidental findings.

View Figures

View References

1	Johnson PT, Horton KM, Megibow AJ, Jeffrey RB and Fishman EK: Common incidental findings on MDCT: Survey of radiologist recommendations for patient management. J Am Coll Radiol. 8:762–767. 2011. View Article : Google Scholar : PubMed/NCBI
2	Nguyen XV, Choudhury KR, Eastwood JD, Lyman GH, Esclamado RM, Werner JD and Hoang JK: Incidental thyroid nodules on CT: Evaluation of 2 risk-categorization methods for work-up of nodules. AJNR Am J Neuroradiol. 34:1812–1817. 2013. View Article : Google Scholar : PubMed/NCBI
3	Yoon DY, Chang SK, Choi CS, Yun EJ, Seo YL, Nam ES, Cho SJ, Rho YS and Ahn HY: The prevalence and significance of incidental thyroid nodules identified on computed tomography. J Comput Assist Tomogr. 32:810–815. 2008. View Article : Google Scholar : PubMed/NCBI
4	Hoang JK, BF IV Branstetter, Gafton AR, Lee WK and Glastonbury CM: Imaging of thyroid carcinoma with CT and MRI: Approaches to common scenarios. Cancer Imaging. 13:128–139. 2013. View Article : Google Scholar : PubMed/NCBI
5	Rosenkrantz AB: Differences in perceptions among radiologists, referring physicians, and patients regarding language for incidental findings reporting. AJR Am J Roentgenol. 208:140–143. 2017. View Article : Google Scholar : PubMed/NCBI
6	Hoang JK, Langer JE, Middleton WD, Wu CC, Hammers LW, Cronan JJ, Tessler FN, Grant EG and Berland LL: Managing incidental thyroid nodules detected on imaging: White paper of the ACR Incidental Thyroid Findings Committee. J Am Coll Radiol. 12:143–150. 2015. View Article : Google Scholar : PubMed/NCBI
7	Shetty SK, Maher MM, Hahn PF, Halpern EF and Aquino SL: Significance of incidental thyroid lesions detected on CT: Correlation among CT, sonography, and pathology. AJR Am J Roentgenol. 187:1349–1356. 2006. View Article : Google Scholar : PubMed/NCBI
8	American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, ; Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, Mandel SJ, Mazzaferri EL, McIver B, Pacini F, et al: Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 19:1167–1214. 2009. View Article : Google Scholar : PubMed/NCBI
9	Hoang JK, Lee WK, Lee M, Johnson D and Farrell S: US Features of thyroid malignancy: Pearls and pitfalls. Radiographics. 27:847–865. 2007. View Article : Google Scholar : PubMed/NCBI
10	Slijepcevic N, Zivaljevic V, Marinkovic J, Sipetic S, Diklic A and Paunovic I: Retrospective evaluation of the incidental finding of 403 papillary thyroid microcarcinomas in 2466 patients undergoing thyroid surgery for presumed benign thyroid disease. BMC Cancer. 15:3302015. View Article : Google Scholar : PubMed/NCBI
11	Noguchi S, Yamashita H, Uchino S and Watanabe S: Papillary microcarcinoma. World J Surg. 32:747–753. 2008. View Article : Google Scholar : PubMed/NCBI
12	Xu L, Li G, Wei Q, El-Naggar AK and Sturgis EM: Family history of cancer and risk of sporadic differentiated thyroid carcinoma. Cancer. 118:1228–1235. 2012. View Article : Google Scholar : PubMed/NCBI
13	Ito Y, Miyauchi A, Kihara M, Higashiyama T, Kobayashi K and Miya A: Patient age is significantly related to the progression of papillary microcarcinoma of the thyroid under observation. Thyroid. 24:27–34. 2014. View Article : Google Scholar : PubMed/NCBI
14	Tanpitukpongse TP, Grady AT, Sosa JA, Eastwood JD, Choudhury KR and Hoang JK: Incidental thyroid nodules on CT or MRI: Discordance between what we report and what receives workup. AJR Am J Roentgenol. 205:1281–1287. 2015. View Article : Google Scholar : PubMed/NCBI
15	Tufano RP, Noureldine SI and Angelos P: Incidental thyroid nodules and thyroid cancer: Considerations before determining management. JAMA Otolaryngol Head Neck Surg. 141:566–572. 2015. View Article : Google Scholar : PubMed/NCBI