Importance of delphian lymph node evaluation in autoimmune thyroiditis: Fact or fiction?


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ÖRMECİ T., Çolakoğulları M., Orhan İ.

Polish Journal of Radiology, cilt.81, ss.72-79, 2016 (Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 81
  • Basım Tarihi: 2016
  • Doi Numarası: 10.12659/pjr.895761
  • Dergi Adı: Polish Journal of Radiology
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.72-79
  • Anahtar Kelimeler: Local Lymph Node Assay, Thyroiditis, Autoimmune, Ultrasonography, Doppler, Color
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Background: Our main objective was to evaluate the association between autoimmune thyroiditis and the Delphian lymph node during different stages of thyroiditis. Material/Methods: The relationships between the ultrasonography (US) results of thyroiditis and characteristics of the Delphian lymph node in different stages of AT were evaluated. Thyroid hormone and antibody levels were assessed. A total of 126 patients were divided into four groups according to the thyroid US findings: Group 1: control cases; Group 2: indeterminate cases; Group 3: established thyroiditis cases; Group 4: advanced-late stage thyroiditis cases. Indeterminate cases attended a 1-year follow-up, and the cases with a sonographic finding matching thyroiditis formed Group 2. Results: The rate of Delphian lymph node presence in Group 4 was significantly higher than in Groups 1 and 2 (p<0.01). In addition, its presence was significantly higher in Group 3 than in Group 1 (p<0.05). Although there was a difference in Delphian lymph node presence between Groups 2 and 3, it was not significant (p=0.052), nor was there a significant difference between Groups 1 and 2 (p>0.05). Both the long and short axis measurements were significantly higher in Groups 2, 3, and 4 compared to those in the control group. However, the same increase was not observed in the long/ short axis ratio. Conclusions: Both the presence and dimensions of the Delphian lymph node were highly correlated with the progress of autoimmune thyroiditis. Evaluating the Delphian lymph nodes might prevent missing a diagnosis of autoimmune thyroiditis.