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Anales de Otorrinolaringología Mexicana

2024, Number 2

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Otorrinolaringología 2024; 69 (2)

Correlation between histological and ultrasound findings of thyroid nodules

Castro GDL, Morales CGM

Language: Spanish
References: 25
Page: 101-107
PDF size: 251.81 Kb.


ABSTRACT

Objective: To determine the correlation between histologic and ultrasound findings of thyroid nodules to evaluate the sensitivity of the TI-RADS method for diagnosing thyroid nodule disease.
Materials and Methods: Retrospective and observational study including patients undergoing thyroidectomy from January 2018 to September 2023. After thyroidectomy, histological findings were correlated with preoperative ultrasound reports.
Results: There were included 38 patients (27 women and 11 men); thyroid cancer was diagnosed in 37 patients and benign lesions in 1 patient after thyroidectomy. The average age was 50.5 years (limits: 21-85 years). According to ultrasound findings TI-RADS 2 was found in 1 patient, TI-RADS 3 in 13 patients, TI-RADS 4 in 18 patients and TI-RADS 5 in 6 patients. As for frequency of thyroid carcinoma type, papillary type was found in 32 patients, follicular in 4 patients, medullary in 1 patient and anaplastic in 1 patient. Correlation of the histologic result with the pre-surgical ultrasound reports showed a sensitivity of 97.3%.
Conclusions: Thirty-seven true positives and one true negative were obtained, which demonstrates a sensitive and specific correlation between thyroid ultrasound and the TI-RADS classification system and the postsurgical histopathologic findings.


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