• Daniela Vrînceanu ENT Department, Bucharest Emergency University Hospital, Bucharest, Romania
  • M. Dumitru ENT Department, Bucharest Emergency University Hospital, Bucharest, Romania & Anatomy Department,“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • A. Costache Ultrasound Teaching Center, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • R. Cergan Anatomy Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Keywords: thyroid pathology, thyroid ultrasound, ENT surgeon


The next level in thyroid disease management is the use of first hand surgeon performed sonography. Given the fact that many of the cases with thyroid carcinoma are referred to Ear Nose and Throat (ENT) departments, this diagnostic imaging modality should be available on site. We present a case series with thyroid pathology that benefited from sonography performed first hand by the ENT surgeon in a tertiary teaching hospital. Thyroid pathology is varied from benign cysts to papillary and medullar carcinomas. Further data are necessary for establishing the learning curve for this exam used by ENT surgeons. The foreseeable advantages are faster protocol in oncology cases, cost efficiency and wide scale availability of thyroid ultrasonography.


[1] A Mohebati, AR Shaha. Anatomy of thyroid and parathyroid glands and neurovasuclature relations. Clinical Anatomy. 2012; 25:19-31.
[2] A Costache, M Dumitru, I Anghel, R Cergan, AG Anghel, C Sarafoleanu. Ultrasonographic anatomy of head and neck – a pictorial for the ENT specialist. Med Ultrason. 2015; 17(1):104-108.
[3] JH Shin, JH Baek, J Chung, et al. Ultrasonography diagnosis and image-based management of thyroid nodules: revised Korean Society of Thyroid Radiology consensus statement and recommendations. Korean J Radiol. 2016; 17(3):370-95.
[4] D Vrinceanu, M Dumitru, R Cergan, AG Anghel, ET Patrascu, CC Sarafoleanu, A Costache. Correlations between ultrasonography performed by the ENT specialist and pathologic findings in the management of three cases with thyroglossal duct cyst. Med Ultrason. 2018; 0:1-3. DOI: 10.11152/mu-1422.
[5] HS Hong, EH Lee, SH Jeong, et al. Ultrasonography of various thyroid diseases in children and adolecents: a pictorial essay. Korean J Radiol. 2015; 16(2):419-29.
[6] B Ma, Y Jia, Q Wang, X Li. Ultrasound of primary thyroid non-Hodgkin's lymphoma. Clin Imaging. 2014; 38(5):621-6
[7] RA Sofferman, AT Ahuja. Ultrasound of the Thyroid and Parathyroid Glands. Springer. New York. 2012. pp61-106.
[8] T Fukuhara, E Matsuda, Y Endo, et al. Impact of fibrotic tissue on shear wave velocity in thyroid: an ex vivo study with fresh thyroid specimens. BioMed Research International. 2015; 2015:569367.
[9] H Malhi, MD Beland, SY Cen, et al. Echogenic foci in thyroid nodules: significance of posterior acoustic artifacts. AJR. 2014; 203(6):1310-6.
[10] S Sheth. Role of ultrasonography in thyroid disease. Otolaryngol Clin North Am. 2010;43(2):239-55
[11] JP Brito, MR Gionfriddo, A Al Nofal, et al. The accuracy of thyroid nodule ultrasound to predict thyroid cancer: systematic review and meta-analysis. J Clin Endocrinol Metab. 2014; 99(4):1253-63.
[12] LR Remonti, CK Kramer, CB Leitão, LC Pinto, JL Gross. Thyroid ultrasound features and risk of carcinoma: a systematic review and meta-analysis of observational studies. Thyroid. 2015; 25(5):538-50
[13] F Pagni, M Jaconi, A Delitala, et al. Incidental papillary thyroid carcinoma: diagnostic findings in a series of 287 carcinomas. Endocr Pathol. 2014; 25(3):288-96
[14] SH Lee, JS Baek, JY Lee, Predictive factors of malignancy in thyroid nodules with a cytological diagnosis of follicular neoplasm. Endocr Pathol. 2013; 24(4):177-83
[15] SY Hahn, BK Han, EY Ko, JH Shin, ES Ko. Ultrasound findings of papillary thyroid carcinoma originating in the isthmus: comparison with lobe-originating papillary thyroid carcinoma. AJR Am J Roentgenol. 2014; 203(3):637-42
[16] YJ Kim, HS Hong, SH Jeong, EH Lee, JJ Kwak. Papillary Thyroid Carcinoma Arising Within a Follicular Adenoma: A Case Report, UltrasoundFeatures, and Considerations. Ultrasound Q. 2016 Apr 23
[17] AK Ganti. Anaplastic Thyroid Carcinoma: Light at the End of the Tunnel? J Oncol Pract. 2016; 12(6):519-20.
[18] IR Paunovic, SB Sipetic, GV Zoric, et al. Survival and prognostic factors of anaplastic thyroid carcinoma. Acta Chir Belg. 2015; 115:62-7.
How to Cite
Vrînceanu, D., Dumitru, M., Costache, A., & Cergan, R. (2020). THYROID ULTRASOUND PERFORMED FIRST HAND BY THE ENT SURGEON. Romanian Journal of Clinical Research, 3(1), 14-17.