ROLE OF ULTRASONOGRAPHY & COLOR DOPPLER IN THE EVALUATION OF THYROID NODULES WITH HISTOPATHOLOGICAL CORRELATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 12
Abstract
[b]PURPOSE OF THE STUDY[/b]: 1. To identify morphologic patterns on sonography, those are predictive of benign thyroid nodules and malignant thyroid nodules. 2. To evaluate the efficacy of sonography in differentiating benign and malignant thyroid nodules in comparison with histopathology. [b]MATERIALS AND METHODS[/b]: HRS of thyroid was performed in 60 patients with clinically palpable STN, referred to Department of Radiodiagnosis, R. L. Jssalappa Hospital and Research Centre, Tamaka, Kolar, Karnataka over a period of 24months, using[b] SIEMENS ACCUSON X[/b] 300 and SIEMENS G 50 with 5-10 MHz transducers. Thyroid sonographic findings relevant to benign or malignant thyroid nodules were recorded and these findings were compared with histopathology reports.[b] RESULTS[/b]: Out of 60 cases of solitary thyroid nodules evaluated at sonography, 41 were diagnosed to be benign thyroid nodules. 19 were malignant thyroid nodules. After histopathological evaluation, 43 cases were found to be benign thyroid nodules and 17 were malignant thyroid nodules. Among benign thyroid nodules, follicular adenoma 55.8% (24 cases)was most common followed by nodular hyperplasia 27.9% (12 cases)and colloid nodule 16.3%(7 cases). Among malignant nodules, papillary carcinoma 88.2% (15 cases) was most common followed by follicular carcinoma 11.8% (2 cases). [b]CONCLUSION:[/b] Thyroid nodules were more common in the females of age group 31 – 45 years. Sonography is a safe, fairly accurate investigation to differentiate benign from malignant thyroid nodules with sensitivity of 82.3 % and specificity of 88.3 %
Authors and Affiliations
Raghu Teja, Anil Kumar , Purnima Hegde, Suresh T. N, Sreeramulu P. N, Kishore Kumar, Haritha P
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