Krishnamurthy Akshay, Santosh U P, Nasser Arfan, Saumya Shubhi
Department of Otorhinolaryngology and Head and Neck surgery, J.J.M Medical College, Davangere, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):279-283. doi: 10.1007/s12070-024-05169-7. Epub 2024 Nov 1.
Benign swellings of the thyroid gland are a common occurrence, frequently seen in surgical practice. Regardless of their appearance, however, it is a must to ultrasonologically analyse them in order to confirm their morphology and pick up any warning signs which might point towards a malignant transformation. In this particular study, we analyzed the morphological features (ultrasonological) associated with benign goitrogenous lesions. To analyse specific ultrasonological findings of goitrogenous lesions and assess the frequency of their appearance. Patients meeting the inclusion criteria were included in the study. Detailed history taking and examination was done. Informed and written consent was taken from the patients before participating in the study. Patients suffering from clinically benign goiter underwent ultrasonological analysis of the lesions. The findings were analyzed and the frequency of their appearance were assessed. Significant correlation was found between the TIRADS category of the lesions and the final radiological diagnosis. Most of the lesions were found to be benign ultrasonologically with 4 having features strongly suspicious of malignancy. In our study, lesions diagnosed to be goiters on ultrasonological examination were found to fall in the TIRADS category I-III (benign to mildly suspicious) while lesions with features of thyroiditis fell in TIRADS category I. Glandular echotexture is inhomogeneous in a majority of goitrogenous lesions and the presence of normal thyroid volume does not exclude the presence of goiter.
甲状腺良性肿物很常见,在外科手术中经常能见到。然而,无论其外观如何,必须对其进行超声分析,以确认其形态并发现任何可能提示恶性转化的警示信号。在这项具体研究中,我们分析了与良性致甲状腺肿性病变相关的形态学特征(超声方面)。以分析致甲状腺肿性病变的具体超声检查结果并评估其出现频率。符合纳入标准的患者被纳入研究。进行了详细的病史采集和检查。在患者参与研究前获取了知情并签署的同意书。患有临床诊断为良性甲状腺肿的患者接受了病变的超声分析。对结果进行了分析并评估了其出现频率。发现病变的甲状腺影像报告和数据系统(TIRADS)分类与最终的放射学诊断之间存在显著相关性。大多数病变在超声检查中被发现为良性,有4个具有高度可疑恶性的特征。在我们的研究中,超声检查诊断为甲状腺肿的病变属于TIRADS分类的I - III类(良性至轻度可疑),而具有甲状腺炎特征的病变属于TIRADS分类的I类。大多数致甲状腺肿性病变的腺体内回声不均匀,甲状腺体积正常并不排除存在甲状腺肿。