Surgeon-performed thyroid ultrasound—proving utility and credibility in selecting patients for fine needle aspiration according to the American thyroid association guidelines. A retrospective study of 500 patients

O. Cohen, T. Raz Yarkoni, Y. Lahav, O. Azoulay, D. Halperin, M. Yehuda

Research output: Contribution to journalArticlepeer-review

Abstract

Design: Case series with chart review. Setting: Single academic centre. Participants: The data of all patients who underwent surgeon-performed ultrasound (SUS) between 7/2009 and 9/2012 were retrospectively reviewed. Main outcome measures: A correlation between sonographic features and a non-benign cytology\malignant pathology. Results: Four hundred ninety-eight nodules were included. Solid texture, irregular margins, hypo-echogenicity and intranodular vascularity were significantly associated with malignancy when benign to non-benign cytology was compared, and when compared to malignant pathology. Lack of suspicious features was significantly associated with benign lesions, with a negative predictive value of 94%. Except for taller than wider shape, malignancy odds ratio was significantly higher for known suspicious features, reaching 4.81 for irregular borders (CI 2.42-9.55, P <.001). Conclusions: SUS has proven to be a reliable and consistent tool to assess the thyroid nodule risk stratification. Surgeons should recognise the potential of this tool and its implementation.

Original languageEnglish
Pages (from-to)267-273
Number of pages7
JournalClinical Otolaryngology
Volume43
Issue number1
DOIs
StatePublished - Feb 2018

Keywords

  • features
  • malignancy
  • surgeon
  • thyroid
  • ultrasound

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