Anuradha Kapali, Jaipal Beerappa, P Raghuram, Ravindra Bangar
Thyroid Research and Practice 2017 14(1):28-31
Context: There are studies describing the ultrasound (USG) features of Hashimoto's thyroiditis in literature; however, we have not come across studies determining the accuracy of USG in diagnosing Hashimoto's thyroiditis. Aims: We evaluated the cases referred to our institute with suspected thyroid abnormalities and studied in them the accuracy of USG in diagnosing Hashimoto's thyroiditis and also studied the associated malignancies and their USG characteristics. Settings and Design: The patients referred to our department with suspected thyroid abnormalities were included in the prospective study. The study period was of 1 year; we included 28 patients with Hashimoto's thyroiditis. Materials and Methods: We evaluated the USG features of the cases namely echogenicity, echotexture, micronodules, and increased vascularity and followed them up for final diagnosis by fine needle aspiration cytology, histopathology, or antithyroglobulin and thyroid peroxidase tests, other 60 cases were used as a control. The results were analyzed. Statistical Analysis Used: Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy. Results: Hashimoto's thyroiditis was present in 28 patients. The most sensitive parameter in diagnosing Hashimoto's thyroiditis was hypoechogenicity and increased vascularity. The most specific parameter was micronodules. Nodules were seen in 13 patients, out of which malignant nodules was present in six patients. Microcalcification, thick halo, and internal vascularity increase the likelihood of nodules being malignant. Conclusions: The most sensitive parameter in diagnosing Hashimoto's thyroiditis was hypoechogenicity and increased vascularity. The most specific parameter was micronodules. Coarsened echo texture had an intermediate sensitivity and specificity. The USG is a specific modality for diagnosing Hashimoto's thyroiditis with a good sensitivity. Microcalcification, thick halo, and internal vascularity also increase the likelihood of nodules being malignant in the background of Hashimoto's thyroiditis. Hence, these nodules must be subject to FNA.
from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2m6fMJP
via IFTTT
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Publication date: Available online 4 January 2018 Source: European Journal of Radiology Author(s): Peiyao Zhang, Jing Wang, Qin Xu, Zhen...
-
Background Hyperthyroidism is associated with increased thrombotic risk. As contact system activation through formation of neutrophil extrac...
-
Dtsch med Wochenschr DOI: 10.1055/s-0043-100054 Hintergrund und Fragestellung Ein etablierter Weg, die optimale Behandlung von Tumorpatien...
-
Publication date: March 2017 Source: Free Radical Biology and Medicine, Volume 104 from #AlexandrosSfakianakis via Alexandros G.Sfak...
-
Related Articles Anatomic parameters of the sacral lamina for osteosynthesis in transverse sacral fractures. Surg Radiol Anat....
-
Medicine by Alexandros G. Sfakianakis,Anapafseos 5... Medicine by Alexandros G. Sfakianakis,Anapafseos 5... Heralding change: The evolution ...
-
BACKGROUND AND PURPOSE: Dengue is a common arboviral disease, which uncommonly involves the brain. There has been a recent surge in dengu...
-
Purpose. We present a case of a patient with Soemmering ring after cataract surgery and a potential complication that can arise as a result ...
-
Abstract Purpose Investigate in patients with metastatic and/or irresectable colorectal cancer treated with systemic treatment with cape...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου