A cavernous hemangioma of the thyroid gland: First documentation by ultrasound of a rare pathology

Gutzeit, Andreas; Stuckmann, G.; Tosoni, Ivo; Erdin, Dieter; Binkert, Christoph A.

doi:10.1002/jcu.20738

Cited by 11 publications

(4 citation statements)

References 9 publications

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“…Magnetic resonance imaging (MRI), computerized tomography (CT), and ultrasound imaging are all useful in IH diagnosis. [11][12][13][14] Both MRI and CT often require general anesthesia in young children and are expensive to repeat. Given these considerations, ultrasound imaging is appealing for use in this population as a rapid and noninvasive means of evaluating IH size and monitoring propranolol therapy.…”

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confidence: 99%

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Propranolol Reduces Infantile Hemangioma Volume and Vessel Density

Bingham

Saltzman

Vo³

et al. 2012

Otolaryngol.--head neck surg.

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Objective To evaluate changes in infantile hemangioma tissue before and after propranolol therapy, using gray-scale and color Doppler ultrasound imaging. Study Design Case series with chart review. Setting Tertiary pediatric hospital. Subjects and Methods Medical records and image studies of head and neck infantile hemangioma patients treated with propranolol, identified in a quality improvement database, were reviewed. Patients with imaging before and at least 4 weeks following the initiation of treatment were included. Data collected included sex, age, location, and concurrent treatment. Student t tests were used to evaluate change in cutaneous lesion area, volume, and vessel density. Logistic regression was used to compare lesion area, volume, and vessel density. Results Of the 177 patients identified, 19 met inclusion criteria. Fourteen of 19 were female, and 5 of 19 were older than 1 year. Mean lesion area change with treatment was 13.0 cm2 (range, −2.8 to 28.9 cm2, P = .05). Measured volume change was a mean of 10.3 cm3 (range, 1.5-19.2 cm3, P = .01). Mean vessel density change was 4.4 vessels per cm2 (range, 2.5-6.3 vessels per cm2, P < .01). Treatment decreased clinically determined hemangioma area proportionately less than gray-scale and color Doppler ultrasound measured lesion volume. Gray-scale and color Doppler ultrasound measured treatment response did not differ with sex, lesion location, or age at propranolol initiation. Conclusion Gray-scale and color Doppler ultrasound imaging of propranolol-treated infantile hemangiomas detected a significant reduction in lesion volume and vessel density. Patient age at propranolol treatment and concomitant corticosteroid use did not affect lesion volume change.

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confidence: 99%

“…Imaging of IH pre‐ and posttreatment may be a helpful adjunct to quantify therapeutic response and determine duration of therapy. Magnetic resonance imaging (MRI), computerized tomography (CT), and ultrasound imaging are all useful in IH diagnosis 11–14 . Both MRI and CT often require general anesthesia in young children and are expensive to repeat.…”

mentioning

confidence: 99%

Propranolol Reduces Infantile Hemangioma Volume and Vessel Density

Bingham

Saltzman

Vo³

et al. 2012

Otolaryngol.--head neck surg.

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“…4 To further understand the US characteristics of thyroid hemangioma, we searched the literature in PubMed and found eight reports describing the US diagnosis of thyroid hemangioma. 2,6,[9][10][11][12][13][14] The sonographic characteristic of thyroid hemangiomas included heterogeneous and hypoechoic tumors with clear boundaries and different shapes. The tumors usually had internal multiple linear septations due to the presence of multiple vascular channels.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Evaluation of thyroid hemangioma by conventional ultrasound combined with contrast-enhanced ultrasound: a case report and review of the literature

et al. 2020

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Primary thyroid hemangioma is an extremely rare clinical disease. Only 31 cases have been reported to date according to a PubMed search, and most were postoperatively diagnosed by pathologic examination. Ultrasonography is the first-line imaging modality for thyroid disease screening. However, preoperative ultrasonic diagnosis of thyroid hemangioma has been rarely reported. We herein describe a 24-year-old woman with a painless mass in the left thyroid lobe. Routine ultrasound (US) and contrast-enhanced US (CEUS) were performed. Routine US revealed an anechoic tumor with linear echogenic septal lines and compressibility. CEUS showed a characteristic “slow in and slow out” pattern of contrast filling and perfusion. Based on the combined findings of routine US and CEUS, the initial diagnosis was thyroid venous hemangioma. Postoperative pathological examination demonstrated multiple irregular dilated vessel lumens filled with red blood cells and multiple hemorrhagic zones. Immunohistochemical staining showed positivity for CD31 and smooth muscle actin.. Overall, this case showed US characteristics of a rare case of thyroid hemangioma, which is of importance for preoperative planning to avoid a large amount of blood loss during surgery. This case together with our literature review will help radiologists to bridge the knowledge gap of thyroid hemangioma, especially at the initial US screening.

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“…[ 1 , 2 ] The primary hemangioma in thyroid gland is extremely rare, and only a few cases have been previously reported. [ 3 – 5 ] Primary thyroid hemangiomas are considered as a developmental anomaly that is associated with an inability of angioblastic mesenchyma. [ 6 ] Generally, no prominent clinical manifestations but a cervical mass can be found in the patient with thyroid hemangioma.…”

Section: Introductionmentioning

confidence: 99%

A primary cavernous hemangioma of the thyroid gland

Miao

Shubo²,

Lin³

et al. 2017

Medicine

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Rationale:Thyroid hemangioma is benign and associated with fine-needle aspiration (FNA) biopsy or trauma in most cases. Its differential diagnosis is very difficult.Patient concerns:We presented the case of a 48-year-old man complained of slowly progressed swelling in the anterior neck for 20 years.Diagnoses:Ultrasound and CT scan revealed a hypoechogenic and heterogeneous mass measuring 4 × 3.5 cm located in the right lobe of thyroid gland. Postoperative pathological and immunohistochemical examinations of the surgical specimen revealed a primary hemangioma of the thyroid gland.Interventions:The patient received a right lobectomy of the thyroid.Outcomes:The patient had been followed up for 10 months after surgery without complications and remained asymptomatic.Lessons:Primary thyroid hemangioma should be considered when there is a well-circumscribed capsule mass on medical imaging without history of FNA or any other cervical procedures or trauma.

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A cavernous hemangioma of the thyroid gland: First documentation by ultrasound of a rare pathology

Cited by 11 publications

References 9 publications

Propranolol Reduces Infantile Hemangioma Volume and Vessel Density

Propranolol Reduces Infantile Hemangioma Volume and Vessel Density

Evaluation of thyroid hemangioma by conventional ultrasound combined with contrast-enhanced ultrasound: a case report and review of the literature

A primary cavernous hemangioma of the thyroid gland

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