Mohebbi Mahdi, Dehaki Mehrzad Gholampour, Mozaffari Mahsa
Department of Internal Medicine, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
Department of Pediatrics, Iran University of Medical Sciences, Tehran, Iran.
Eur J Transl Myol. 2019 Aug 6;29(3):8354. doi: 10.4081/ejtm.2019.8354. eCollection 2019 Aug 2.
The purpose of research was comparing the ultrasound (US) features and fine-needle aspiration cytology (FNAC) in detecting the thyroid nodules in clinical practice. A cross-sectional analytical study retrospectively reviewed the US and FNAC findings for a total of 170 thyroid nodules. The US features that we compared included echogenicity, calcifications, shape, halo and Doppler, between 2017 and 2018. Totally, 170 nodules of thyroid were studied, which contained 72 (42.4%) benign and 98 (57.6%) malignant thyroid nodules. The sonographic features were significantly associated with malignancy such as microcalcification (97.0%), hyperechogenicity (91.5%), wider than taller shape (98.0%), absent halo (90.9%) and positive Doppler (78.0%) (P < 0.01). The altogether accuracies of calcification, echogenicity, shape, halo, and Doppler were 0.96, 0.92, 0.97,0.82 and 0.82, respectively. Our data suggest that US features could be a good sonographic criterion for recommending FNA cytology with follow-up thyroid sonography and FNA.
本研究的目的是比较超声（US）特征和细针穿刺细胞学检查（FNAC）在临床实践中检测甲状腺结节的情况。一项横断面分析研究回顾性分析了170个甲状腺结节的超声和细针穿刺细胞学检查结果。我们比较的超声特征包括2017年至2018年间的回声、钙化、形状、晕环和多普勒情况。总共研究了170个甲状腺结节，其中包括72个（42.4%）良性甲状腺结节和98个（57.6%）恶性甲状腺结节。超声特征与恶性肿瘤显著相关，如微钙化（97.0%）、高回声（91.5%）、宽大于高的形状（98.0%）、无晕环（90.9%）和多普勒阳性（78.0%）（P<0.01）。钙化、回声、形状、晕环和多普勒的总准确率分别为0.96、0.92、0.97、0.82和0.82。我们的数据表明，超声特征可能是推荐进行细针穿刺细胞学检查以及后续甲状腺超声检查和细针穿刺的良好超声标准。
