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 251
- Downloads 11
ANTIMICROBIAL RESISTANCE PROFILE AND CHARACTERISATION OF ENTEROCOCCUS SPECIES FROM VARIOUS CLINICAL SAMPLES IN A TERTIARY CARE HOSPITAL
Background: Enterococcus is one of the leading causes of nosocomial infections, with E faecalis and E faecium accounting up to 90-95% of clinical isolates. During recent years, the occurrence of other Enterococcal spec...
Toxicological Assessment of Barium Carbonate on Behavioral and Hematological Parameters in Channa punctatus
Barium and its compounds are known for their toxic nature. In the present study barium carbonate (BaCO3), a known rodenticide has been assessed for its toxicological effects on Channa punctatus. Behavioral as well as he...
STUDY OF PRIOR PREPAREDNESS AND AWARENESS REGARDING THE MBBS COURSE AMONGST FIRST YEAR STUDENTS ADMITTED AT RURAL MEDICAL COLLEGE, OF PIMS-DU, LONI
Background: Adolescents in India choose career in medicine under the influence and pressure from parents, family members, peers and external sources. There are no measures taken to study whether these medical students...
The Effects of Eight Weeks of Yoga Training on Motor Control, Proprioception and Forward Head Angle among Girls diagnosed with Forward Head Posture
Forward head abnormality is a prevalent musculoskeletal abnormality which is accompanied by weakness of stabilizer muscles of the neck. The purpose of this research was investigation of the effects of eight weeks of Yog...
COMPARATIVE EVALUATION BETWEEN 20% EDTA-S & ORNIDAZOLE GEL AS ROOT BIOMODIFICATION AGENT ASEM STUDY
Background: It should be well understood that the root surface receptiveness to clot formation & initial periodontal wound healing decides the nature of the connective tissue attachments. This study was carried out to...