Ultrasonographic features of pharyngoesophageal diverticulum in a case misdiagnosed as a thyroid nodule: a case report and review of the literature

Tiroid nodulü olarak yanlıfl tanı alan faringoözefageal divertikül olgusunun ultrasonografik özellikleri: Olgu sunumu ve literatürün gözden geçirilmesiBafl ve boyun flifllikleri için genellikle ultrasonografi tekniği kullanılır.Faringoözefagael divertikül büyük boyutlara ulafltığında, tiroid bezeyansıyabilir, ultrasonografi sırasında tiroid nodül ile karıfltırılabilir,gereksiz ince iğne aspirasyon biyopsisine neden olabilir. Bu çalıflmada, ultrasonda tiroid nodülünü taklit eden faringoözefageal divertikülolgusunu, literatür bilgisi ve ultrasonografik iflaretlerle birlikte sunduk

Tiroid nodulü olarak yanl›fl tan› alan faringoözefageal divertikül olgusunun ultrasonografik özellikleri: Olgu sunumu ve literatürün gözden geçirilmesi

Ultrasonography technique is generally used for head and neck lumps.As pharyngoesophageal diverticula reach large sizes, it might projecttoward the thyroid gland which can be confused with thyroid noduleduring thyroid ultrasonography, leading to unnecessary fine needleaspiration biopsy. In this report, we present a case of pharyngoesophageal diverticulum that mimicked thyroid nodule in ultrasonography together with literature knowledge and ultrasonographic signs

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  • 1. Rubesin SE, Levine MS. Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol 2001;177:85–9.
  • 2. Killian G. Über den Mund der Speiseröhre. Zeitschrift für Ohrenheilkunde 1908;55:1–44
  • 3. Jamieson EB. Illustrations of regional anatomy. Edinburgh: E&S Livingstone Ltd; 1934. Section 2:44.
  • 4. Zaino C, Jacobson HG, Lepow H, Ozturk C. The pharyngoesophageal sphincter. Springfield, IL: CC Thomas; 1950. p. 29– 144.
  • 5. Ferreira LE, Simmons DT, Baron TH. Zenker’s diverticula: pathophysiology, clinical presentation, and flexible endoscopic management. Dis Esophagus 2008;21:1–8.
  • 6. Walts AE, Braunstein G. Fine-needle aspiration of a paraesophageal diverticulum masquerading as a thyroid nodule. Diagn Cytopathol 2006;34:843–5.
  • 7. Oertel YC, Khedmati F, Bernanke AD. Esophageal diverticulum presenting as a thyroid nodule and diagnosed on fine-needle aspiration. Thyroid 2009;19:1121–3.
  • 8. Jeong HK, Young SC, Bu KK, Jun SL, Yo-Han P, Bang H. Zenker’s diverticulum suspected to be a thyroid nodule diagnosed on fine needle aspiration: a case report. Journal of Medical Cases 2012;3:261–3.
  • 9. Komatsu M, Komatsu T, Inove K. Ultrasonography of Zenker’s diverticulum: special reference to differential diagnosis from thyroid nodules. Eur J Ultrasound 2000;11:123–5.
  • 10. Ko HM, Boerner SL, Geddie WR. Fine-needle aspiration of a pharyngoesophageal diverticulum mimicking a calcified thyroid nodule on ultrasonography. Diagn Cytopathol 2013;41:752–3.
  • 11. Lixin J, Bing H, Zhigang W, Binghui Z. Sonographic diagnosis features of Zenker diverticulum. Eur J Radiol 2011;80:e13–9.
  • 12. Shao Y, Zhou P, Zhao Y. Ultrasonographic findings of pharyngoesophageal diverticulum: two case reports and review of literature. J Med Ultrason 2001;42:553–7.
  • 13. Wang Y, Song Y. Sonographic characteristics of pharyngoesophageal diverticula: report of 14 cases and review of the literature. J Clin Ultrasound 2016;44:333–8.
  • 14. Mimatsu K, Oida T, Kano H, et al. Killian-Jamieson diverticula presenting synchronously with thyroid adenoma. Case Rep Gastroenterol 2013;7:188–94.
  • 15. Mercer D, Blachar A, Khafif A, Weiss J, Kessler A. Real-time sonography of Killian-Jamieson diverticulum and its differentiation from thyroid nodules. J Ultrasound Med 2005;24:557–60.
  • 16. Pang JC, Chong S, Na HI, Kim YS, Park SJ, Kwon GY. KillianJamieson diverticulum mimicking a suspicious thyroid nodule: sonographic diagnosis. J Clin Ultrasound 2009;37:528–30.
  • 17. Kim MH, Kim EK, Kwak JY, Kim MJ, Moon HJ. Bilateral Killian-Jamieson diverticula incidentally found on thyroid ultrasonography. Thyroid 2010;20:1041-2.
  • 18. Kim HK, Lee JI, Jang HW, et al. Characteristics of KillianJamieson diverticula mimicking a thyroid nodule. Head Neck 2012;34:599–603.
ENT Updates-Cover
  • ISSN: 2149-7109
  • Başlangıç: 2015
  • Yayıncı: Prof.Dr.Murat Demir
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