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
em 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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Glândula Tireoide
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Nódulo da Glândula Tireoide
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Ultrassonografia de Intervenção
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Seleção de Pacientes
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Fidelidade a Diretrizes
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Biópsia por Agulha Fina
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Biópsia Guiada por Imagem
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article