Partially cystic thyroid nodule - benign Hurthle changes

Case contributed by Dennis Odhiambo Agolah , 7 Jan 2022
Diagnosis almost certain
Changed by Henry Knipe, 4 Feb 2022

Updates to Case Attributes

Body was changed:

Partially cystic thyroid nodules [PCTN] are quite common, more so in the adult population, however. are quite rare in paediatrics. Most literature has shown post-surgical histological or pre-operative cytological benign entities (as the major category of the lesions). Most tend to undergo a cystic degenerative change from an initial solid nodule. Hurthle cell adenomas (also referred to as oncocytic adenomas) are benign thyroid neoplasms predominantly composed of >75-percent% oncocytes and can be homogenously solid but may also change scarring calcifications, haemorrhages or massive cystic degeneration ¹. Such nodular lesions are more suspicious for a malignant process in the paediatric population and should be treated with the urgency they deserve.

  • -<p><a title="Partially cystic thyroid nodules" href="/articles/partially-cystic-thyroid-nodules">Partially cystic thyroid nodules</a> [PCTN] are quite common, more so in the adult population however are quite rare in paediatrics. Most literature has shown post-surgical histological or pre-operative cytological benign entities (as the major category of the lesions). Most tend to undergo a cystic degenerative change from an initial solid nodule. Hurthle cell adenomas (also referred to as oncocytic adenomas) are benign thyroid neoplasms predominantly composed of &gt;75-percent oncocytes and can be homogenously solid but may also change scarring calcifications, haemorrhages or massive cystic degeneration ¹. Such nodular lesions are more suspicious for a malignant process in the paediatric population and should be treated with the urgency they deserve.</p>
  • +<p>Partially cystic thyroid nodules are common, more so in the adult population, however. are quite rare in paediatrics. Most literature has shown post-surgical histological or pre-operative cytological benign entities (as the major category of the lesions). Most tend to undergo a cystic degenerative change from an initial solid nodule. Hurthle cell adenomas (also referred to as oncocytic adenomas) are benign thyroid neoplasms predominantly composed of &gt;75% oncocytes and can be homogenously solid but may also change scarring calcifications, haemorrhages or massive cystic degeneration ¹. Such nodular lesions are more suspicious for a malignant process in the paediatric population and should be treated with the urgency they deserve.</p>
Suitable For Quiz was set to .

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.