Sonographic-pathologic correlation in an ultrasound-guided fine needle aspiration of a thyroid nodule: Concordant or discordant?
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 10
Abstract
Thyroid nodules are common medical problem caused by a variety of thyroid disorders. The aims of this study was to evaluate the sonographic-pathologic concordance and discordance of thyroid nodules and to demonstrate how ultrasound is integrated with the fine needle aspiration to provide valuable information that can be used to improve patient care. This prospective study was done on 76 patients with thyroid nodules referred for ultrasound examination. From 76 patients involved in this study and underwent ultrasound-guided fine needle aspiration cytology, 10 patients have inadequate aspirates and thus were excluded. Of the remaining 66 patients that were included in our study, only 6 patients had thyroid carcinoma (9%). Thyroid cancer was highest in age group of 50-59 years (50%). Five patients of thyroid carcinoma (83.3%) had solitary nodule more than 10 mm in largest dimension and only one patient (16.7%) had multiple thyroid nodules. After sonographic-pathologic correlation, the concordance and discordance rate presented as: (1) concordant benign (98.11%), (2) concordant malignant (71.42%), (3) discordant benign (14.28%), (4) discordant malignant (1.88%) and (5) borderline or high risk (30.76%). We conclude that careful sonographic-pathologic correlation and appropriated post-biopsy management will allow detection of a substantial number of false negative results immediately after needle biopsy by identifying discordant lesions prospectively, thereby avoiding delays in the diagnosis of cancer.
Authors and Affiliations
Qays A. Hassan| Section of Radiology, Department of Surgery, Al-kindy College of Medicine –Baghdad University, Baghdad, Iraq, Corresponding Email: qtimeme@yahoo.com, Abdullateef A. Asghar| Iraqi national cancer research center, Baghdad University, Baghdad, Iraq, Mohammad A. Hadi | Department of Radiology, Oncology hospital, medical city in Baghdad, Baghdad, Iraq
Keywords
Related Articles
- EP ID EP12108
- DOI -
- Views 290
- Downloads 11
Unusual hydatid cyst in a 16 years old girl presented by shoulder pain
Hydatid disease is caused by Echinococcus granulosus and is endemic in many parts of the world, including Iran. This parasitic tapeworm can produce cysts in almost every organ of the body, with the liver and lung being...
Comparative Study Between the Effect of Myofascial Release Using M2T Blade and Kinesiotape on Recreational Badminton Shoulder Pain Subjects: A Randomised Clinical Trial
Background: Shoulder pain is one of the most common conditions seen in recreational badminton players. It is caused due to repeated movements at the shoulder joint which further limits the range of motion and hence hamp...
The Effectiveness of Social Skills Training on Reducing Negative Symptoms of Chronic Schizophrenia
Because of creating serious problems for patients, schizophrenia has gained many attentions. One method to reduce negative symptoms of schizophrenia patients is mental-social approach. Applied method in this study is se...
DEGREE AND ONSET OF MYDRIASIS CAUSED BY MYDRIATIC AGENTS WITH SPECIAL REFERENCE TO TOBACCO ADDICTION
Introduction: The quality of an intra-ocular examination depends on adequate pupil dilation (mydriasis). Magnitude of dilation depends on sphincter and dilator muscles of pupil. Most frequently used drugs in ophthalmol...
The relationship between the chin and anteroposterior cephalometric indices in an Iranian Population
The morphology of mandibular symphysis is considered as one of references for the profile evaluation. This study tried to investigate the relationship between anteroposterior profile cephalometric indicators and indicat...