Differential Diagnosis of Neck Formations

Abstract

The article describes the low‐invasive method for the differential diagnosis of formations in
 the projection of the thyroid gland and adjacent soft tissues of the neck (application for invention number
 2014146341).
 The objective of the study was to develop a low‐invasive method of preoperative differential diagnosis
 of neck structures visualized by ultrasound to reduce trauma performed diagnostic procedures and to reduce
 the time to clarify the diagnosis in determining the subsequent treatment.
 The purpose is achieved in the implementation of ultrasound‐guided fine‐needle aspiration biopsy of
 formation in the projection of the thyroid gland and adjacent soft tissues of the neck with one‐stage fence
 material one needle through one skin puncture for determination of three parameters: the level of parathyroid
 hormone, thyroglobulin and to perform cytology.
 Depending on the outcomes, the proposed method allows to carry out a reliable differential diagnosis
 between formation cyst of the parathyroid gland, node/cyst of the thyroid gland, thyroid cancer, lymph node
 or metastasis cancer of the thyroid gland in the lymph node, and thus greatly to reduce the trauma diagnostic
 procedures and the time to clarify the diagnosis and choice of volume of operative treatment in patients
 with hyperparathyroidism, nodal forms of goiter, thyroid cancer and recurrence of these diseases.
 The proposed method is economical and easy to carry out, applicable to inpatient and outpatient basis
 without anesthesia.