Utility of screening asymptomatic adults with thyroid ultrasonography
Abstract
Objective: In this study we aimed to determine whether thyroid USG is useful in the absence of any complaints and prominent self/family history or risk of thyroid pathology.
Method: Thyroid USG results of 1198 asymptomatic adults, who had no self or family history of any thyroid pathology, were retrospectively included. In all cases USG was done by the same radiologist. Thyroid nodules were classified based on their sonographic characteristics suspicious for malignancy according to American Thyroid Association (ATA)-2015 guideline.
Results: Based on ATA-2015 criteria 5% (n=61) detected nodule with high risk and 27% (n=325) detected nodule with intermediate risk for malignancy. Three percent (n=33) had nodules with low risk for malignancy based on USG findings.
Conclusions: USG alone may not be a decisive screening tool for thyroid carcinoma. Personal/family history and risks may guide in which cases thyroid USG would be more reliable.
Keywords
Kaynakça
- 1. Turkiye Endokrinoloji ve Metabolizma Dernegi-Tiroid hastalıkları tanı ve tedavi kılavuzu 2016Ankara , Turkiye: Turkiye Klinikleri Yayın 2017.
- 2. Yeh MW, Bauer AJ, Bernet VA, et al. American Thyroid Association statement on preoperative imaging for thyroid cancer surgery. Thyroid : official journal of the American Thyroid Association. 2015; 25: 3-14.
- 3. Mazzaglia PJ. Surgeon-performed ultrasound in patients referred for thyroid disease improves patient care by minimizing performance of unnecessary procedures and optimizing surgical treatment. World journal of surgery. 2010; 34: 1164-70.
- 4. Nilakantan A, Venkatesh MD, Raghavan D, Datta R and Sharma V. Ultrasonography: Its role in nodular thyroid disease. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 2007; 59: 332-5.
- 5. Haugen BR, Alexander EK, Bible KC, 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 : official journal of the American Thyroid Association. 2016; 26: 1-133.
- 6. Kim SJ, Moon WK and Cho N. Sonographic criteria for fine-needle aspiration cytology in a Korean female population undergoing thyroid ultrasound screening. Acta radiologica (Stockholm, Sweden : 1987). 2010; 51: 475-81.
- 7. Kim JY, Lee CH, Kim SY, et al. Radiologic and pathologic findings of nonpalpable thyroid carcinomas detected by ultrasonography in a medical screening center. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2008; 27: 215-23.
- In: Howlader N NA, Krapcho M, Miller D, Bishop K, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA, (ed.). SEER Cancer Statistics Review, 1975-2013, National Cancer Institute,Bethesda, MD April 2016.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Abdulhalim Senyigit
*
Türkiye
Esra Hatipoğlu
0000-0001-8361-8866
Türkiye
Okan Gürkan
0000-0002-8797-7580
Türkiye
İlhami Gültepe
Türkiye
Timur Orhanoğlu
Yeltekin Demirel
Yayımlanma Tarihi
28 Mart 2019
Gönderilme Tarihi
26 Şubat 2019
Kabul Tarihi
26 Mart 2019
Yayımlandığı Sayı
Yıl 2019 Cilt: 41 Sayı: 1