Öz
Amaç: Bu çalışmada her hangi bir
şikayet veya tiroid kanseri için belirgin bir risk faktörü olmaksızın çekilen
tiroid USG’lerinin faydasını belirlemeyi hedefledik.
Yöntem: Tiroid kanseri için her hangi bir
ailesel veya kişisel risk faktörü olmayan 1198 asemptomatik bireyin çekilmiş
olan tiroid USG sonuçları retrospektif olarak incelendi. Tüm USG ler aynı
radyolog tarafından yapılmıştı. Tiroid nodülleri American Thyroid Association (ATA)-2015 kılavuzuna göre
sınıflandırılmıştı.
Bulgular: ATA-2015 kriterlerine göre saptanan nodüllerin %5’i (n=61)
yüksek risk grubunda iken %27’si (n=325) orta risk grubunda idi. Yüzde 3 (n=33)’ü
ise malignite açısından düşük riskli grupta idi.
Sonuç: Tiroid kanserini saptamada USG
tek başına güvenilir bir metod olmayabilir. Kişisel/ailevi anamnez ve risk
faktörleri tiroid USG’sinin daha güvenilir olabileceği vakaları seçmede
yardımcı olabilirler.
Anahtar Kelimeler
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.
- 9. Cooper DS, Doherty GM, Haugen BR, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid : official journal of the American Thyroid Association. 2009; 19: 1167-214.
- 10. Ito Y, Miyauchi A, Inoue H, et al. An observational trial for papillary thyroid microcarcinoma in Japanese patients. World J Surg. 2010; 34: 28-35.
- 11. Ito Y, Miyauchi A, Kihara M, Higashiyama T, Kobayashi K and Miya A. Patient age is significantly related to the progression of papillary microcarcinoma of the thyroid under observation. Thyroid : official journal of the American Thyroid Association. 2014; 24: 27-34.
- 12. Oda H, Miyauchi A, Ito Y, et al. Incidences of Unfavorable Events in the Management of Low-Risk Papillary Microcarcinoma of the Thyroid by Active Surveillance Versus Immediate Surgery. Thyroid : official journal of the American Thyroid Association. 2016; 26: 150-5.
- 13. Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement. Jama. 2017; 317: 1882-7.
Öz
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.
Anahtar Kelimeler
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.
- 9. Cooper DS, Doherty GM, Haugen BR, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid : official journal of the American Thyroid Association. 2009; 19: 1167-214.
- 10. Ito Y, Miyauchi A, Inoue H, et al. An observational trial for papillary thyroid microcarcinoma in Japanese patients. World J Surg. 2010; 34: 28-35.
- 11. Ito Y, Miyauchi A, Kihara M, Higashiyama T, Kobayashi K and Miya A. Patient age is significantly related to the progression of papillary microcarcinoma of the thyroid under observation. Thyroid : official journal of the American Thyroid Association. 2014; 24: 27-34.
- 12. Oda H, Miyauchi A, Ito Y, et al. Incidences of Unfavorable Events in the Management of Low-Risk Papillary Microcarcinoma of the Thyroid by Active Surveillance Versus Immediate Surgery. Thyroid : official journal of the American Thyroid Association. 2016; 26: 150-5.
- 13. Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement. Jama. 2017; 317: 1882-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Dahili Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Mart 2019 |
| Kabul Tarihi | 26 Mart 2019 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 41 Sayı: 1 |