Sonographic Detection of an Oncocytic Neoplasm of the Thyroid Gland

Oncocytic neoplasms of the head and neck arise from a dysfunction of the mitochondria. These cells are often called Hürthle cells and recognized as one of the rarest forms of thyroid cancer. Diagnostic imaging is usually performed by sonography with a fine-needle aspiration following the sonogram. A case is presented of an oncocytic neoplasm that was initially identified sonographically. The mass was then characterized using the thyroid imaging reporting and data system, followed by a fine-needle aspiration and gene expression classifier to obtain additional information about the diagnosis. The use of sonography followed by biopsy helped to determine the proper treatment of the neoplasm in the thyroid gland