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Association of the Thyroid Nodules With FNA

Category: Articles » Association of the Thyroid Nodules With FNA

 

 

 

 

Association of the Thyroid Nodules With FNA

 

 

 

 

 

 

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Abstract

 

Thyroid nodules are a common finding in clinical practice.

 

Although ultrasonography is an accepted method for evaluating

 

 

these nodules, Fine Needle Aspiration (FNA) is the procedure of

 

 

choice for assessing the risk of malignancy. This study aims to determine

 

 

the association between sonographic features of thyroid nodules based on

 

 

Thyroid Imaging Reporting and Data System classification and the cytology results.

 

 

In this prospective cohort study, 147 patients from Tehran Medical Imaging Center

 

 

 

who had thyroid nodules underwent ultrasonography-guided FNA,

 

 

and their sonographic features were recorded.

 

 

The pathologic findings were also obtained according to the Bethesda system.

 

 

 

inally, the association between sonographic features and cytological results was

 

 

analyzed.

 

 

Eighteen (12.3%) nodules were malignant, and 129 nodules (87.7%) were benign. The

 

 

 

association of TIRADS categories with the risk of malignancy is as follows:

 

 

 

TIRADS 1 (n=0, 0%), TIRADS 2 (n=10, 16.9%), TIRADS 3 (n=6, 10.5%), TIRADS 4 (n=2, 16.7%), and TIRADS 5 (n=0, 0%).

 

 

 

 

The bloody lamellae of thyroid nodules were significantly correlated with

 

 

the risk of malignancy (P<0.05).

 

 

However, there was no statistically significant association between

 

 

the risk of malignancy and gender (P=0.47), calcification (P=0.9),

 

 

firmness (P=0.19), halo sign (P=0.95), location of nodules (P=0.35),

 

 

and nodules' echogenicity (P=0.058).

 

 

 

Although there are trusted classifications such as TIRADS for

 

 

categorizing thyroid nodules, there is still uncertainty in utilizing them,

 

 

especially in the management of nodules classified as TIRADS 2,

 

 

.

 

in which various sonographic features are shared between benign and malignant nodules.

 

 

Although, based on the ACR guideline, we do not perform FNA

 

with all nodules that have TIRADS 2, regardless of the size or other characteristics

 

of the nodule,

 

there is a possibility that some of these nodules will be malignant in the future,

 

 

so it is considered.

 

It seems that the guideline should be revised regarding TIRADS 2,

 

and under certain circumstances,

 

 

these types of nodules should also be sampled under FNA ultrasound guidance

 

with some criteria such as size or other features,

 

because there may be problems in the future,

 

contrary to what the guideline currently recommends,

 

that sampling TIRADS 2 is not required.

 

 be created and find out that some of these types of nodules are malignant 

 

Although currently, the ACR guideline does not recommend performing

 

thyroid nodule FNA with TIRADS 2

 

unless the patient has a positive family history of thyroid cancer,

 

 

. especially if family history is the MTC type or MEN.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Author and compiler:

 

Dr. Alireza Arefzadeh

 

 

 

 

 

 

 

 

endocrinology and metabolism specialist in Tehran

 

specialist in endocrine diseases in Tehran

 

 

the best endocrinologist in Tehran

 

the best endocrinologist in Tehran

 

the best subspecialist in Iran

 

the best endocrinologist in Iran

 

the best endocrinologist in Tehran

 

the best endocrinologist in Iran

 

the best specialist Thyroid in Tehran

 

FNA

 

thyroid ultrasound

 

 

 

 

 

About Us :

Dr. Alireza Arefzadeh
Assistant Prof of Endocrinology & Metabolism
Faculty Member of Medical University
Internal Medicine Specialist
Endocrinology and Metabolism SubSpecialist
Clinician and Researcher
Member of American Diabetes Association(ADA).
Member of European Society of Endocrinology(ESE)and European Research Association(CORDIS).

Contact Us :

Address :Norrebrogade, Copenhagen N, 2200 Denmark.
Phone :004591731837
E-mail :info@drarefzadeh.com
Contact TEL Number for patients outside Iran: 0016612623255-0037253141799-00447700309990
Contact TEL Number for patients inside Iran: 02122898836-09198673034-09373622621
آدرس: تهران، خیابان شریعتی، بالاتر از میرداماد، روبروی مترو شریعتی، جنب پمپ بنزین شریعتی(مینا)، کوچه شواری، پلاک 29، ساختمان پزشکان سینا، طبقه4، واحد 16. روزهای زوج از ساعت 5بعداز ظهر تا 7 شب تلفن تماس:09198673034-02122898836 تلفن پاسخ گویی به سوالات09373622621
 

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