Diagnostic accuracy of ultrasound and fine-needle aspiration in the study of thyroid nodule and multinodular goitre

Endocrinology, Diabetes & Metabolism
Antonio Rabal FueyoAntonio Moral Duarte

Abstract

Ultrasonography and cytology obtained by fine-needle aspiration are part of the basic study of the thyroid nodule. Although they are not diagnostic in every case, they are cost-effective methods that inform surgical treatment and its extent. The purpose of this study was to evaluate the accuracy of ultrasonography associated with fine-needle aspiration to predict malignancy in nodular thyroid pathology. We collected prospective data from patients undergoing thyroidectomy by single nodule or multinodular goitre between 2006 and 2016. A total of 417 patients were included. Ultrasounds were classified as suspected of malignancy if they had 2 or more of the following characteristics: hypoechogenicity, microcalcifications, intranodular central hypervascularization, irregular margins and poorly defined edges. Ultrasound and fine-needle aspiration accuracy. In the postoperative study, 40% presented malignant pathology. 33% of patients with nonsuspicious ultrasound and 73% of those with suspicious ultrasound had malignant disease. Among patients with single nodule and suspicious ultrasound, the malignancy rate reached 80%. As for cytology, 100% of Bethesda VI patients, 88% of V, 63% of IV, 31% of III and 12% of II were found to have ca...Continue Reading

References

Nov 14, 2000·Annals of Internal Medicine·E MarquseeS J Mandel
Feb 22, 2002·AJR. American Journal of Roentgenology·Eun-Kyung KimHyung Sik Yoo
May 8, 2002·The Journal of Clinical Endocrinology and Metabolism·Enrico PapiniClaudio M Pacella
Feb 7, 2004·European Journal of Endocrinology·L LeenhardtF De Vathaire
Oct 22, 2004·The New England Journal of Medicine·Laszlo Hegedüs
Nov 24, 2005·Radiology·Mary C FratesUNKNOWN Society of Radiologists in Ultrasound
Apr 7, 2006·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Hossein GharibUNKNOWN AACE/AME Task Force on Thyroid Nodules
Jul 13, 2006·The Journal of Clinical Endocrinology and Metabolism·Mary C FratesErik K Alexander
Mar 12, 2009·The Journal of Clinical Endocrinology and Metabolism·Eleonora HorvathMiguel Dominguez
Jul 16, 2009·European Journal of Clinical Investigation·S GuthC M Bamberger
Oct 23, 2009·American Journal of Clinical Pathology·Edmund S CibasUNKNOWN NCI Thyroid FNA State of the Science Conference
May 8, 2010·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·Abel González-GonzálezJosé M Tenías Burillo
Aug 1, 2012·Acta Cytologica·Massimo BongiovanniZubair W Baloch
Oct 17, 2012·Thyroid : Official Journal of the American Thyroid Association·Juan P BritoVictor M Montori
Nov 28, 2013·The Journal of Clinical Endocrinology and Metabolism·Juan P BritoVictor M Montori
Feb 22, 2014·JAMA Otolaryngology-- Head & Neck Surgery·Louise Davies, H Gilbert Welch

❮ Previous
Next ❯

Citations

Jul 28, 2020·Journal of Clinical Medicine·Solène CastellnouAntoine Duclos

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.