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

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 cyto...

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Bibliographic Details
Published in:Clinical otolaryngology 2018-02, Vol.43 (1), p.267-273
Main Authors: Cohen, O., Raz Yarkoni, T., Lahav, Y., Azoulay, O., Halperin, D., Yehuda, M.
Format: Article
Language:English
Subjects:
Benign
Cellular biology
Correlation analysis
Cytology
features
Lesions
Malignancy
Medical personnel
Nodules
Pathology
Patients
surgeon
Surgeons
Thyroid
Thyroid gland
Ultrasound
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Summary: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.
ISSN:1749-4478
1749-4486
DOI:10.1111/coa.12984