Surgeon-performed thyroid ultrasound-proving utility and credibility in selecting patients for fine needle aspiration according to the American thyroid association guidelines. A retrospective study of 500 patients.
Clin Otolaryngol
; 43(1): 267-273, 2018 02.
Article
de En
| MEDLINE
| ID: mdl-28892590
ABSTRACT
DESIGN:
Case series with chart review.SETTING:
Single academic centre.PARTICIPANTS:
The data of all patients who underwent surgeon-performed ultrasound (SUS) between 7/2009 and 9/2012 were retrospectively reviewed. MAIN OUTCOMEMEASURES:
A correlation between sonographic features and a non-benign cytology\malignant pathology.RESULTS:
Four hundred ninety-eight nodules were included. Solid texture, irregular margins, hypo-echogenicity and intranodular vascularity were significantly associated with malignancy when benign to non-benign cytology was compared, and when compared to malignant pathology. Lack of suspicious features was significantly associated with benign lesions, with a negative predictive value of 94%. Except for taller than wider shape, malignancy odds ratio was significantly higher for known suspicious features, reaching 4.81 for irregular borders (CI 2.42-9.55, P < .001).CONCLUSIONS:
SUS has proven to be a reliable and consistent tool to assess the thyroid nodule risk stratification. Surgeons should recognise the potential of this tool and its implementation.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Glande thyroide
/
Nodule thyroïdien
/
Échographie interventionnelle
/
Sélection de patients
/
Adhésion aux directives
/
Cytoponction
/
Biopsie guidée par l'image
Type d'étude:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
Clin Otolaryngol
Sujet du journal:
OTORRINOLARINGOLOGIA
Année:
2018
Type de document:
Article
Pays d'affiliation:
Israël