Premium
Characteristics of Killian–Jamieson diverticula mimicking a thyroid nodule
Author(s) -
Kim Hee Kyung,
Lee Ji In,
Jang Hye Won,
Bae So Young,
Lee Jun Haeng,
Kim Youngsun,
Shin Jung Hee,
Kim Sun Wook,
Chung Jae Hoon
Publication year - 2012
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21575
Subject(s) - echogenicity , medicine , thyroid nodules , asymptomatic , nodule (geology) , radiology , thyroid , lesion , ultrasonography , left lobe , diverticulum (mollusc) , pathology , anatomy , paleontology , biology
Background Killian–Jamieson (K–J) diverticula have been incidentally detected on neck ultrasonography and could be misdiagnosed as thyroid nodules. The purpose of this study was to define the clinical and ultrasonographic characteristics of K–J diverticula. Methods We analyzed 13 patients with K–J diverticula mimicking thyroid nodules including 4 of our patients and 11 previously reported cases between 1984 and August 2009. Results Seven patients (54%) were women, and all patients were asymptomatic. The average lesion's diameter was 1.5 cm (range, 0.5–4.0). Most of the lesions (92%) were located in the left thyroid lobe. Ultrasonography showed heterogeneous echogenic masses with echogenic foci and hypoechoic rims. A connection with the adjacent esophageal wall was found in 7 diverticula (54%) at the time of initial diagnosis. Conclusion The K–J diverticula had unique ultrasonographic findings. Awareness of the fact that K–J diverticula can be misdiagnosed as thyroid nodules is important to avoid unnecessary interventions. © 2010 Wiley Periodicals, Inc. Head Neck, 2012