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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleHead and Neck Imaging

Zuckerkandl Tubercle of the Thyroid Gland: Correlations between Findings of Anatomic Dissections and CT Imaging

H.-J. Won, H.-S. Won, D.-S. Kwak, J. Jang, S.-L. Jung and I.-B. Kim
American Journal of Neuroradiology July 2017, 38 (7) 1416-1420; DOI: https://doi.org/10.3174/ajnr.A5172
H.-J. Won
aFrom the Department of Anatomy (H.-J.W., H.-S.W., D.-S.K., I.-B.K.), Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea
bDepartment of Mortuary Science (H.-J.W.), Eulji University, Seongnam, Korea
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H.-S. Won
aFrom the Department of Anatomy (H.-J.W., H.-S.W., D.-S.K., I.-B.K.), Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea
cDepartment of Anatomy (H.-S.W.), School of Medicine, Wonkwang University, Iksan, Korea
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D.-S. Kwak
aFrom the Department of Anatomy (H.-J.W., H.-S.W., D.-S.K., I.-B.K.), Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea
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J. Jang
dDepartment of Radiology (J.J., S.-L.J.), Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
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S.-L. Jung
dDepartment of Radiology (J.J., S.-L.J.), Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
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I.-B. Kim
aFrom the Department of Anatomy (H.-J.W., H.-S.W., D.-S.K., I.-B.K.), Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea
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    Fig 1.

    Location of the ZT and its superior and inferior borders according to the thyroid lobe (A) and the level of the tracheal rings (B). CC indicates cricoid cartilage; TC, thyroid cartilage; Rt, right; Lt, left; Sup, superior; Inf, inferior.

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    Fig 2.

    Types of ZTs based on the direction of extension: posteromedial (A), posteromedial and superior (B), and posteromedial and inferior (C). D, A specimen with an uneven ZT surface, which divides into 2 parts due to a deep groove (arrowhead) representing impressions of the blood vessels. Arrows indicate the ends of ZT extensions. Es indicates esophagus; PThG, parathyroid gland; Tr, trachea.

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    Fig 3.

    Comparison of ZT on axial CT (A), cross-sectional (B), and histologic (C) images of the same specimen. The ZT (arrows) is continuous with the posterior part of the thyroid lobe, extends posteromedially toward the posterior end of the esophagus, and is compatible with the other areas of thyroid tissue in the microscopic finding. LB indicates lateral border of the thyroid lobe; Es, esophagus; ThG, thyroid gland; Tr, trachea.

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    Fig 4.

    ZTs protruding posteromedially and superiorly (left side) and posteromedially and inferiorly (right side) in both thyroid lobes of the same cadaver, and their shapes on axial CT images at different levels. Arrowheads and arrows indicate the ZT and the slit between the ZT and the thyroid lobe, respectively. PThG indicates parathyroid gland.

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    Fig 5.

    Comparison of clinically acquired axial CT images between the ZT appearing discontinuous from the thyroid gland and as a separate nodule or lymph node. A, Contrast-enhanced CT scan of a 33-year-old male patient who had undergone neck CT for work-up of lymphoma. There is a bulging structure (arrow) at the posterior aspect of the right thyroid lobe, and a fat plane between this structure and the thyroid lobe. The bulging structure protrudes toward the posterior and medial direction. The fat plane is not evident at the lower level of the CT image (B), which means that the bulging structure is a ZT protruding in the posteromedial and superior direction. C, Contrast-enhanced CT scan of a 65-year-old female patient who had hyperparathyroidism. An oval nodular lesion (arrowhead) separated from the thyroid gland with a fat plane is seen posterior to the right thyroid lobe and is protruding in the posterior and lateral direction. This nodule is suggested to be a parathyroid adenoma or hyperplasia in the delayed image of the parathyroid scan (D).

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American Journal of Neuroradiology: 38 (7)
American Journal of Neuroradiology
Vol. 38, Issue 7
1 Jul 2017
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Cite this article
H.-J. Won, H.-S. Won, D.-S. Kwak, J. Jang, S.-L. Jung, I.-B. Kim
Zuckerkandl Tubercle of the Thyroid Gland: Correlations between Findings of Anatomic Dissections and CT Imaging
American Journal of Neuroradiology Jul 2017, 38 (7) 1416-1420; DOI: 10.3174/ajnr.A5172

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Zuckerkandl Tubercle of the Thyroid Gland: Correlations between Findings of Anatomic Dissections and CT Imaging
H.-J. Won, H.-S. Won, D.-S. Kwak, J. Jang, S.-L. Jung, I.-B. Kim
American Journal of Neuroradiology Jul 2017, 38 (7) 1416-1420; DOI: 10.3174/ajnr.A5172
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