Correlation of Thyroid Imaging Reporting and Data System [TI-RADS] and fine needle aspiration: experience in 1,000 nodules

被引:21
|
作者
Rahal Junior, Antonio [1 ]
Falsarella, Priscila Mina [1 ]
Rocha, Rafael Dahmer [1 ]
Bacellar Costa Lima, Joao Paulo [1 ]
Iani, Matheus Jorge [1 ]
Cardillo Vieira, Fabio Augusto [1 ]
Gomes de Queiroz, Marcos Roberto [1 ]
Hidal, Jairo Tabacow [1 ]
Francisco Neto, Miguel Jose [1 ]
Garcia, Rodrigo Gobbo [1 ]
de Gusmao Funari, Marcelo Buarque [1 ]
机构
[1] Hosp Israelita Albert Einstein, Sao Paulo, SP, Brazil
来源
EINSTEIN-SAO PAULO | 2016年 / 14卷 / 02期
关键词
Thyroid nodule/classification; Biopy; fine-needle; Thyroid gland/ultrasonography; Thyroid gland/citology;
D O I
10.1590/S1679-45082016AO3640
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To correlate the Thyroid Imaging Reporting and Data System (TI-RADS) and the Bethesda system in reporting cytopathology in 1,000 thyroid nodules. Methods: A retrospective study conducted from November 2011 to February 2014 that evaluated 1,000 thyroid nodules of 906 patients who underwent ultrasound exam and fine needle aspiration. Results: A significant association was found between the TI-RADS outcome and Bethesda classification (p<0.001). Most individuals with TI-RADS 2 or 3 had Bethesda 2 result (95.5% and 92.5%, respectively). Among those classified as TI-RADS 4C and 5, most presented Bethesda 6 (68.2% and 91.3%, respectively; p<0.001). The proportion of malignancies among TI-RADS 2 was 0.8%, and TI-RADS 3 was 1.7%. Among those classified as TI-RADS 4A, proportion of malignancies was 16.0%, 43.2% in 4B, 72.7% in 4C and 91.3% among TI-RADS 5 (p<0.001), showing clear association between TI-RADS and biopsy results. Conclusion: The TI-RADS is appropriate to assess thyroid nodules and avoid unnecessary fine needle aspiration, as well as to assist in making decision about when this procedure should be performed.
引用
收藏
页码:119 / 123
页数:5
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