Acosta-Falomir MJ, Téllez- Cienfuegos JG, Hernández-Hernández R, López-Lagos V

Language: Spanish
References: 17
Page: 218-226
PDF size: 284.54 Kb.

ABSTRACT

Introduction: thyroid nodules are one of the most common endocrine pathologies. They are identified by ultrasonography in 19- 76% of the general population. This prevalence varies depending on genetic, racial, dietary, and lifestyle factors. In Mexico, few studies have been conducted to determine this incidence.
Purpose: determine the incidence of thyroid nodules incidentally in women residents of the state of Chihuahua, Mexico.
Material and Methods: we conducted a transverse, descriptive, observational study of women residents of the state of Chihuahua who had mammograms taken in the Intramagen diagnostic clinic in the period April 2015 to September 2016. In addition to the mammogram, the subjects underwent a thyroidal ultrasonography.
Results: two hundred and twenty-six (226) women with average age of 54 years (range 35 to 82) were evaluated. Thyroidal ultrasonography detected nodules in 140, 62% of the sample studied. It was observed that age was higher in patients with diagnosis of thyroid nodules (p ‹ 0.01).
Conclusion: the incidence of thyroid nodules in women from the state of Chihuahua, Mexico, is high, similar to that reported in the international specialized literature; we also found that the incidence of thyroid nodules increases with age.

REFERENCES

1. Duick DS, Klopper JP, Diggans JC, Friedman L, Kennedy GC, Lanman RB, et al. The impact of benign gene expression classifier test results on the endocrinologist-patient decision to operate on patients with thyroid nodules with indeterminate fine-needle aspiration cytopathology. Thyroid Off J Am Thyroid Assoc. octubre de 2012;22(10):996-1001.

2. Rivera-Moscoso R, Hernández-Jiménez S, Ochoa-Sosa C, Rodriguez-Carranza S, Torres-Ambriz P. Diagnóstico Y Tratamiento Del Nódulo Tiroideo. Posición Soc Mex Nutr Endocrinol. 2010;18(1):34-50.

3. Jiang H, Tian Y, Yan W, Kong Y, Wang H, Wang A, et al. The Prevalence of Thyroid Nodules and an Analysis of Related Lifestyle Factors in Beijing Communities. Int J Environ Res Public Health. 2016;13(4).

4. Gharib H, Papini E, Paschke R, Duick DS, Valcavi R, Hegedüs L, et al. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical guidelines for clinical practice for the diagnosis and management of thyroid nodules: executive summary of recommendations. Endocr Pract Off J Am Coll Endocrinol Am Assoc Clin Endocrinol. junio de 2010;16(3):468-75.

5. Fernández J. TI-RADS classification of thyroid nodules based on a score modified according to ultrasound criteria for malignancy. Rev Argent Radiol. 2014;78(3):138-46.

6. Migda B, Słapa R, Bierca J, Slowińska-Srzednicka J, Migda A, Dobruch-Sobczak K, et al. Differentiation of thyroid nodules in multinodular goiter with the application of technical ultrasound advances - initial results. Endokrynol Pol. 2016;67(2):157-65.

7. Ezzat S, Sarti DA, Cain DR, Braunstein GD. Thyroid incidentalomas. Prevalence by palpation and ultrasonography. Arch Intern Med. el 22 de agosto de 1994;154(16):1838-40.

8. Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid Off J Am Thyroid Assoc. enero de 2016;26(1):1-133.

9. Zaldívar-Ramírez FR, López-López JA, Hurtado-López LM. Nódulo tiroideo: Frecuencia de malignidad. Cir Gen. 2001;23(2):92-4.

10. Kung AWC, Chau MT, Lao TT, Tam SCF, Low LCK. The effect of pregnancy on thyroid nodule formation. J Clin Endocrinol Metab. marzo de 2002;87(3):1010-4.

11. Ugurluoglu C, Dobur F, Karabagli P, Celik ZE. Fine needle aspiration biopsy of thyroid nodules: cytologic and histopathologic correlation of 1096 patients. Int J Clin Exp Pathol. 2015;8(11):14800-5.

12. Hurtado-López LM, Basurto-Kuba E, Montes de Oca-Durán ER, Pulido-Cejudo A, Vázquez-Ortega R, Athié-Gutiérrez C. Prevalence of thyroid nodules in the Valley of Mexico. Cir Cir. abril de 2011;79(2):114-7.

13. Shin J, Kim M-H, Yoon K-H, Kang M-I, Cha B-Y, Lim D-J. Relationship between metabolic syndrome and thyroid nodules in healthy Koreans. Korean J Intern Med. enero de 2016;31(1):98-105.

14. Hoang JK, Lee WK, Lee M, Johnson D, Farrell S. US Features of thyroid malignancy: pearls and pitfalls. Radiogr Rev Publ Radiol Soc N Am Inc. junio de 2007;27(3):847-60; discussion 861-5.

15. Guth S, Theune U, Aberle J, Galach A, Bamberger CM. Very high prevalence of thyroid nodules detected by high frequency (13 MHz) ultrasound examination. Eur J Clin Invest. agosto de 2009;39(8):699-706.

16. Benoist B de, Andersson M, Egli I, Takkouche B, Allen H, WHO, et al. Iodine status worldwide WHO global database on iodine deficiency. Geneva: World Health Organization, Department of Nutrition for Health and Development; 2004.

17. Shan Z, Chen L, Lian X, Liu C, Shi B, Shi L, et al. Iodine Status and Prevalence of Thyroid Disorders After Introduction of Mandatory Universal Salt Iodization for 16 Years in China: A Cross-Sectional Study in 10 Cities. Thyroid Off J Am Thyroid Assoc. agosto de 2016;26(8):1125-30.