Sonographic Analysis of Malignant Thyroid Nodules by Surgeon / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
;
: 224-228, 2010.
Artículo
en Coreano
| WPRIM
| ID: wpr-90096
ABSTRACT
PURPOSE:
Ultrasound is most effective study for evaluating thyroid nodules. In this review, we discuss that sonographic findings to differentiate benign from malignant nodules and suggest recommendations for indications of fine needle aspiration biopsy and thyroid nodule management.METHODS:
Sonographic scans of 206 thyroid nodules in 164 patients were candidated for this study. We evaluated sonographic findings by shape, calcification, margin, and echogenicity, retrospectively. Sonographic findings that suggested malignancy included microcalcifications, a speculated margin, marked hypoechogenicity and a shape that was taller than wide. The final diagnosis of lesion as benign (n=180) or malignant (n=26) was confirmed by fine needle aspiration biopsy and follow-up (>6 months). We demonstrated the difference of the sensitivity, specificity, positive predictive value, negative predictive value and accuracy.RESULTS:
Of 206 thyroid nodules, 26 were malignant. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy based on our sonographic classification method were 84.6%, 73.9%, 31.9%, 97.0% and 75.2%.CONCLUSION:
Sonography can be helpful for making the differentiation between and malignant nodules. So, when well trained surgeon find thyroid nodules on sonography, we can make correct diagnosis of malignant nodules.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Glándula Tiroides
/
Biopsia
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Ultrasonografía
/
Sensibilidad y Especificidad
/
Nódulo Tiroideo
/
Clasificación
/
Biopsia con Aguja Fina
/
Diagnóstico
Tipo de estudio:
Estudio diagnóstico
/
Guía de Práctica Clínica
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Endocrine Surgery
Año:
2010
Tipo del documento:
Artículo
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