摘要
| 原文 | 英語 |
|---|---|
| 出版狀態 | 已發佈 - 三月 2012 |
| 事件 | THE 61ST ANNUAL MEETING OF THE RSROC - NTUH International Convention Center, Taipei, 臺灣 持續時間: 三月 24 2014 → 三月 25 2014 https://www.rsroc.org.tw/annual/annualnews_detail.asp?id=42 |
會議
| 會議 | THE 61ST ANNUAL MEETING OF THE RSROC |
|---|---|
| 國家 | 臺灣 |
| 城市 | Taipei |
| 期間 | 3/24/14 → 3/25/14 |
| 網際網路位址 |
指紋
引用此文
Sonographic Features Predictive of Benign Thyroid Nodules : Important of Avoiding Unnecessary Ultrasound-Guided Fine Needle Aspiration Biopsy. / Tay, SheeYen; Chen, Chia-Yuen; Chan, Wing P.
2012. 論文發表於 THE 61ST ANNUAL MEETING OF THE RSROC , Taipei, 臺灣.研究成果: 會議貢獻類型 › 論文
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TY - CONF
T1 - Sonographic Features Predictive of Benign Thyroid Nodules
T2 - Important of Avoiding Unnecessary Ultrasound-Guided Fine Needle Aspiration Biopsy
AU - Tay, SheeYen
AU - Chen, Chia-Yuen
AU - Chan, Wing P.
PY - 2012/3
Y1 - 2012/3
N2 - PURPOSE: We aimed to develop a feature-oriented approach to characterize benign thyroid nodules that do not require ultrasound-guided fine needle aspiration (US-guided FNA). MATERIALS AND METHODS: We finally reviewed 374 patients (298 women and 76 men) having complete medical records and US-guided FNA. The nodular content (solid or cystic); echogenicity (hyperechoic, isoechoic, hypoechoic) relative to strap muscle; calcification (micro, coarse, or absent); nodular margin (well-defined or ill-defined); vascularity (increased or decreased) relative to the normal part of the thyroid tissue; and lymphadenopathy (neck node with calcification or short-axis > 10 mm) were evaluated. Finally, all US features were classified into 3 category: 1). Benign nodules that did not require US-guided FNA but follow-up 6 months to 12 months later was required; 2). Indeterminate, which can be follow-up 6 months later or US-guided FNA; 3).Atypical nodules or suspected carcinoma, which required US-guided FNA. RESULTS: Of the 374 nodules, 354 (95%) were benign and 20 (5%) malignant. There were 260 thyroid nodules (69.5%) that proved benign on cytology. The following US features were classified as category 1: without calcification, well-defined margins, without increase vascularity and no lymphadenopathy. There were 60 thyroid nodules (16%) classified as category 2. Indeterminate. The remaining 54 thyroid nodules (14.4%) with US features of calcification, blurred margins, increase vascularity, lymphadenopathy were classified as category 3. CONCLUSION: The US features of no calcification, no increased vascularity, well-defined margin, and no lymph node enlargement are highly predictive of benign nodules, and thereby, aspiration biopsy can be avoided in clinical practice.
AB - PURPOSE: We aimed to develop a feature-oriented approach to characterize benign thyroid nodules that do not require ultrasound-guided fine needle aspiration (US-guided FNA). MATERIALS AND METHODS: We finally reviewed 374 patients (298 women and 76 men) having complete medical records and US-guided FNA. The nodular content (solid or cystic); echogenicity (hyperechoic, isoechoic, hypoechoic) relative to strap muscle; calcification (micro, coarse, or absent); nodular margin (well-defined or ill-defined); vascularity (increased or decreased) relative to the normal part of the thyroid tissue; and lymphadenopathy (neck node with calcification or short-axis > 10 mm) were evaluated. Finally, all US features were classified into 3 category: 1). Benign nodules that did not require US-guided FNA but follow-up 6 months to 12 months later was required; 2). Indeterminate, which can be follow-up 6 months later or US-guided FNA; 3).Atypical nodules or suspected carcinoma, which required US-guided FNA. RESULTS: Of the 374 nodules, 354 (95%) were benign and 20 (5%) malignant. There were 260 thyroid nodules (69.5%) that proved benign on cytology. The following US features were classified as category 1: without calcification, well-defined margins, without increase vascularity and no lymphadenopathy. There were 60 thyroid nodules (16%) classified as category 2. Indeterminate. The remaining 54 thyroid nodules (14.4%) with US features of calcification, blurred margins, increase vascularity, lymphadenopathy were classified as category 3. CONCLUSION: The US features of no calcification, no increased vascularity, well-defined margin, and no lymph node enlargement are highly predictive of benign nodules, and thereby, aspiration biopsy can be avoided in clinical practice.
M3 - Paper
ER -