Dtsch Med Wochenschr 2020; 145(04): 260-267
DOI: 10.1055/a-0674-7845
Schritt für Schritt
© Georg Thieme Verlag KG Stuttgart · New York

Schilddrüsensonografie – Schritt für Schritt

Ultrasound Examination of the Thyroid Gland – Step by Step
Alexander Iwen
Further Information

Publication History

Publication Date:
18 February 2020 (online)

Abstract

Thyroid disorders are among the most common endocrine alterations. Ultrasound examination of the thyroid gland is a rapid and radiation-free method, adding important information to a patient’s medical history, physical examination, and laboratory results. This article describes a practical approach to an ultrasound examination in a step by step manner. The most important findings and most common causes of thyroid disorders are discussed on the basis of typical images.

Die Schilddrüsensonografie ist eine rasch durchführbare, strahlenfreie Untersuchungsmethode. Bei richtiger Anwendung und sorgfältiger Interpretation der Bilder liefert sie entscheidende Informationen in Ergänzung zu Anamnese, klinischer Untersuchung und Labor. Dieser Beitrag fasst das praktische Vorgehen zusammen und diskutiert die wichtigsten Befunde sowie die häufigsten Ursachen von Schilddrüsenerkrankungen anhand typischer Bilder.

 
  • Literatur

  • 1 Gutekunst R, Becker W, Hehrmann R. et al. Ultrasonic diagnosis of the thyroid gland. Dtsch Med Wochenschr 1988; 113: 1109-1112
  • 2 Dighe M, Barr R, Bojunga J. et al. Thyroid Ultrasound: State of the Art Part 1 – Thyroid Ultrasound reporting and Diffuse Thyroid Diseases. Med Ultrasonography 2017; 19: 79-93
  • 3 Biersack HJ, Biermann K. The Marine-Lenhart syndrome revisited. Wiener Klin Wochenschr 2011; 123: 459-462
  • 4 Horvath E, Majlis S, Rossi R. et al. An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management. J Clin Endocrinol Metab 2009; 94: 1748-1751
  • 5 Russ G, Bonnema SJ, Erdogan MF. et al. European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS. Eur Thyroid J 2017; 6: 225-237
  • 6 Machens A, Holzhausen HJ, Dralle H. The prognostic value of primary tumor size in papillary and follicular thyroid carcinoma. Cancer 2005; 103: 2269-2273
  • 7 Dighe M, Barr R, Bojunga J. et al. Thyroid Ultrasound: State of the Art. Part 2 – Focal Thyroid Lesions. Med Ultrasonography 2017; 19: 195-210
  • 8 Leenhardt L, Erdogan MF, Hegedus L. et al. 2013 European thyroid association guidelines for cervical ultrasound scan and ultrasound-guided techniques in the postoperative management of patients with thyroid cancer. Eur Thyroid J 2013; 2: 147-159