Ultrasonography: How Effective Is It To Predict Malignancy Preoperatively In Solitary Thyroid Nodules?
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2014, Vol 22, Issue 2
Abstract
AbstractA descriptive, cross-sectional study was conducted from January 2013 to June 2014 among the patients presenting with clinically solitary thyroid nodule, attending toOPDand indoor of ENT department of RGKar Medical College.Atotal of 40 cases were selected. They underwent thorough pre-operative evaluation including ultrasonography. They were managed surgically and post-operative histopathology report was considered as the gold standard for diagnosis. Different sonological findings were then corroborated with histopathology report to assess their predictability for malignancy. Nodule size more than 4 cm, spiculated border, punctate calcification and presence of neck node were found to be statistically significant predictor of malignancy. Solid content of a nodule, hypoechogenicity, elongated shape, absent perinodular halo and disorganized central vascularity were also found to be predictors of malignancy with variable sensitivity and specificity; though they were not statistically significant. Overall, ultrasonography was found to be quite a senisitive, specific and statistically significant imaging modality to characterize solitary thyroid nodules and to predict malignancy pre-operarively.
Authors and Affiliations
Rahul Sarkar
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