Keywords
ultrasonography
Bethesda
How to Cite
Abstract
The present work assesses the correlation between clinical histology examination and ultrasonography of thyroid nodules in 380 patients. All patients to enter the investigation must have the FNA performed and their diagnosis certified, and this will be classified according to the Bethesda classification13 and the histopathological classification of the World Health Organization (2004). the ultrasonographic examination will be taken to the TIRADS system to group the patients according to the possibility of malignancy. The highest percentage of patients evaluated were female (86.8%), while the female gender was 13.2%. The highest percentage corresponds to the age group between 30 to 39 years at 31.1%, followed by the groups of 40 to 49 years and 50 to 59 years with 18.9%. 11.8% of the patients are young and 19.2% are older adults. Clinical and ultrasonographic characteristics correlate significantly in thyroid nodules. 39.2% of the patients evaluated have neck pain and recorded hypoechogenicity. 38.4% suffer from dysphagia and recorded hypoechogenicity. 35.3% presented a rapidly growing nodule and registered hypoechogenicity. 47.6% of the patients evaluated presented a nodule greater than 4 cm and registered hypoechogenicity. 38.4% presented a nodule with a hard consistency and hypoechogenicity. 25.3% of the patients evaluated presented a nodule greater than 4 cm and recorded vascularity. 25.5% presented a hard consistency nodule and recorded vascularity.
References
Alexander EK. Approach to the patient with a cytologically indeterminate thyroid nodule. J Clin Endocrinol Metab 2008; 93(11):4175-82
Androulakis J, Badalament R, Branum G, Carlson G, Colborn G, DelGaudio J et al. Skandalakis' Surgical anatomy. New York: McGraw-Hill; 2004.
Arancibia Z Germán, Niedmann E Juan Pablo, Ortega T. Dulia. ULTRASONOGRAFIA DE TIROIDES. Rev. chil. radiol. [Internet]. 2002 [citado 2019 Jun 17] ; 8( 3 ): 101-106. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717
Bazrafshan H, Azarhoush R, Gholamrezanezhad A. Fine needle aspiration of thyroid nodules in a general teaching hospital setting performing moderate number of biopsies: outcome of indeterminate cytologic results. Endokrynol Pol 2008; 59(5):385-9.
Castañeda Muñoz Ángela M, Castro Morillo Ana María, Rufín Bergado Ana M, Ríos Serrano Manuel, González Rodríguez Diana. Aplicación del sistema de Bethesda en la BAAF de tiroides. Rev. Med. Electron. [Internet]. 2014 Dic [citado 2016 Mar 23] ; 36( 6 ): 823- 834.
Cortázar R, Quirós R, Acebal M. role of radiologists in the management of thyroid nodules. Radiologia 2008; 50(6):471-81.
Chala Andrés Ignacio, Pava Rafael, Franco Humberto Ignacio, Álvarez Andrés, Franco Armando. Criterios ecográficos diagnósticos de neoplasia maligna en el nódulo tiroideo: correlación con la punción por aspiración con aguja fina y la anatomía patológica. rev. colomb. cir. [Internet]. 2013 Mar [cited 2019 June 17] ; 28( 1 ): 15-23. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-75822013000100002&lng=en.
Cheng, S. P., Lee, J. J., Lin, J. L., Chuang, S. M., Chien, M. N., Liu, C. L. Characterization of thyroid nodules using the proposed thyroid imaging reporting and data system (TI‐RADS). Head Neck. 2013 Apr;35(4):541-7. doi: 10.1002/hed.22985.
Choi YJ, Park YL, Koh JH. Prevalence of thyroid cancer at a medical screening center: pathological features of screen-detected thyroid carcinomas. Yonsei Med J 2008; 49(5):748-56.
Chowdhury J, Das S, Maji D. A study on thyroid nodules: diagnostic correlation between fine needle aspiration cytology and histopathology. J Indian Med Assoc 2008; 106(6):389-90.
Dean DS, Gharib H. Epidemiology of thyroid nodules. Res Clin Endocrinol Metab 2008; 22(6): 901-1.
De Lellis RA, Lloyd RV, Heitz PU, Eng C Tumours of the Thyroid and Parathyroid. En: World Health Organization Classification of Tumours. Pathology and Genetics. Tumours of Endocrine Organs, 2004:50-72. International Agency for Research on Cancer (IARC). Lyon, France.
González Félix, Nicolau Mena Orlando, Durruthy Odalis, Guerra González Wilson Alfredo. Nódulos del tiroides: incidentalomas. AMC [Internet]. 2009 Ago [citado 2019 Jun 18] ; 13( 4 ). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S102502552009000400005&lng=es.
Gulcelik NE, Gulcelik MA, Kuru B. Risk of malignancy in patients with follicular neoplasm: predictive value of clinical and ultrasonographic features. Arch Otolaryngol Head Neck Surg 2008; 134(12):1312.
Horvath Eleonora, Majlis D Sergio, Franco S Carmen, Soto N Eduardo, Niedmann E Juan P. ¿EXISTEN NODULOS COLOIDEOS TIROIDEOS QUE NO REQUIEREN PUNCIÓN DIAGNOSTICA?. Rev. chil. radiol. [Internet]. 2008 [citado 2019 Jun 18] ; 14( 1 ): 5-10. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-93082008000100003&lng=es. http://dx.doi.org/10.4067/S0717-93082008000100003.
Hovarth E, Majlis S, Rossi R, Franco C, Niedmann JP, Castro A, et al. An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management. J Clin Endocrinol Metab. 2009;94:1748---51
Kara G, Bozkurt F, Ugur O, Grassetto G, Rubello D. The additional diagnostic value of a single-session combined scintigraphic and ultrasonographic examination in patients with thyroid and parathyroid diseases. Panminerva Med 2008; 50(3):199-205.
Kwak J. Thyroid ultrasonography for personalized approach at thyroid nodules. Insights Imaging .2016; (7):77–86.
Kim MJ, Kim EK, Park SI, Kim BM, Kwak JY. US-guided fine-needle aspiration of thyroid nodules: indications, techniques, results. Radiographics 2008; 28 (7): 1869-86.
López, José I, Fernández de Larrinoa A , Zabala R, del Cura JL. “El diagnóstico histológico de la patología tiroidea en biopsias guiadas por control ecográfico”. Rev Esp Patol. 2009; 42 ( 2): 97-106.
Mitchell J, Parangi S. The thyroid incidentaloma: an increasingly frequent consequence of radiologic imaging. Semin Ultrasound CT MR 2005; 26(1):37-46.
Mitteldorf CA, de Sousa JM, Massumoto C, da Camara L. Fine-needle aspiration biopsy of thyroid nodules as a possible source for molecular studies: analysis of RNA obtained from routine cases. Diagn Cytopathol 2008; 36(12):899-903.
McHenry CR, Huh ES, Machekano RN. Is nodule size an independent predictor of thyroid malignancy?. Surgery 2008; 144(6):1062-8.
Navarro D. Epidemiología de las enfermedades del tiroides en Cuba. Rev Cubana Endocrinol 2004; 15(1): 12-14.