Pérez CCA, González VC, Figueroa GJ

Language: Spanish
References: 13
Page: 6-11
PDF size: 238.54 Kb.

ABSTRACT

Introduction: thyroid cancer has a low mortality rate because it is considered slow-growing and not very aggressive, although its incidence has increased in the last decade. Different classifications are intended to reduce unnecessary invasive procedures in patients with thyroid nodules to search for cancer. Objective: to analyze the association of the ultrasonographic parameters implemented by TI-RADS-ACR, with the histopathological findings of thyroid cancer. Material and methods: an observational, retrospective, and analytical study in patients with suspected thyroid cancer in the outpatient clinic of Hospital Angeles Mocel in Mexico City, in five years, with a history of having performed thyroid ultrasound and thyroid resection, either complete or partial with the histopathological result. Results: 75.8% of the nodules did not present histopathological findings of malignancy, 19.2% resulted in papillary carcinoma, and 5% in follicular carcinoma. An OR of 6.6 (p < 0.001) was obtained for the presence of ultrasound data suspected of thyroid cancer by TI-RADS-ACR and the histopathological results of thyroid cancer. Conclusions: there is a high probability of having a histopathological diagnosis of thyroid cancer when suspicious ultrasound findings are presented using the TI-RADS-ACR classification.

REFERENCES

1. Kwak JY, Han KH, Yoon JH, Moon HJ, Son EJ, Park SH et al. Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. Radiology. 2011; 260 (3): 892-899.

2. Howlader N, Noone AM, Krapcho M, Miller D, Brest A, Yu M et al. SEER cancer statistics review, 1975-2018 [Internet]. Bethesda, MD: National Cancer Institute; 2021 [Revised November 12, 2021]. Available in: https://seer.cancer.gov/csr/1975_2018/

3. Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M et al. Global cancer observatory: cancer today [Internet]. Lyon, France: International Agency for Research on Cancer; 2020 [Revised October 13, 2021]. Available in: https://gco.iarc.fr/today, accessed

4. Elizondo Cerdas A. Histopatología del cáncer de tiroides. Rev Med Costa Rica Centroam. 2014; 71 (610): 253-258.

5. Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA et al. ACR thyroid imaging, reporting and data system (TI-RADS): white paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017; 14 (5): 587-595.

6. Zhu H, Yang Y, Wu S, Chen K, Luo H, Huang J. Diagnostic performance of US-based FNAB criteria of the 2020 Chinese guideline for malignant thyroid nodules: comparison with the 2017 American College of Radiology guideline, the 2015 American Thyroid Association guideline, and the 2016 Korean Thyroid Association guideline. Quant Imaging Med Surg. 2021; 11 (8): 3604-3618.

7. Hoang JK, Middleton WD, Farjat AE, Langer JE, Reading CC, Teefey SA et al. Reduction in thyroid nodule biopsies and improved accuracy with American College of Radiology thyroid imaging reporting and data system. Radiology. 2018; 287 (1): 185-193.

8. Tappouni RR, Itri JN, McQueen TS, Lalwani N, Ou JJ. ACR TI-RADS: pitfalls, solutions, and future directions. Radiographics. 2019; 39 (7): 2040-2052.

9. Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016; 26 (1): 1-133.

10. González Vásquez CM, Muñoz Durán JA, Isaza Zapata S, González Londoño JF, García Gómez V. Concordance of the ACR TI-RADS. Radiologia (Engl Ed). 2021; 63 (6): 469-475.

11. LiVolsi VA. Papillary thyroid carcinoma: an update. Mod Pathol. 2011; 24 Suppl 2: S1-S9.

12. Li J, Ma X, Cui K. Re: "ACR thyroid imaging, reporting and data system (TI-RADS): white paper of the ACR TI-RADS committee". J Am Coll Radiol. 2018; 15 (3 Pt A): 380-381.

13. Kim SY, Kwak JY, Kim EK, Yoon JH, Moon HJ. Association of preoperative US features and recurrence in patients with classic papillary thyroid carcinoma. Radiology. 2015; 277 (2): 574-583.