Inspissated colloid

Inspissated colloid (colloid crystals) in a thyroid nodule leads to focal hyperechogenic foci, which can potentially be confused with microcalcifications.

Inspissated colloid can vary in size and tend to be larger than microcalcifications. There is overlap in size between the two entities, however.

It is important to try to differentiate between inspissated colloid and microcalcifications in a thyroid nodule. Inspissated colloid is not associated with malignancy and fine needle aspiration (FNA) is uncessary. Microcalcifications are associated with papillary thyroid cancer and FNA is almost always indicated for nodules with microcalcifications.

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Article information

rID: 52417
System: Head & Neck
Synonyms or Alternate Spellings:
  • Colloid crystal
  • Colloid crystals

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