Criales VSA, Iñiguez RMR, Burgos ZJL, Sosa LLA

Language: Spanish
References: 9
Page: 141-145
PDF size: 413.82 Kb.

ABSTRACT

Introduction: The thyroid nodules are a frequent ultrasonographic finding in the daily practice and the goal when observing and analyzing them should be to decide if the nodule has benign characteristics against malign ones, to carry out a biopsy or another method in those that have malign characteristics.
Conclusions: The thyroid nodules are a frequent finding, they can be secondary to conditions in those that neoplasia, hyperplasia and inflammatory illness are included. Findings through ultrasound of all these conditions can overcome. Of the 8 classic patterns described by ultrasound, the first 4 are suggestive of malignancy and the rest of benignity. The application of these patterns in the daily practice diminishes costs and complications when avoiding biopsies through fine needle aspiration and other diagnostic imaging procedures that would result unnecessary. With this classic patterns scope of the patients who have findings probably benign won’t be subjected to tests.

REFERENCES

1. Reading CC, Charboneau JW, Hay ID, Sebo TJ. Sonography of thyroid nodules: a “classic pattern” Diagnostic Approach. Ultrasound Quarterly 2005; 21(3): 157-65.

2. Bui A, Mazzaferri EL. New paradigms in diagnostic and management of thyroid nodules. The Endocrinologist 2007: 17(1): 35-45.

3. Frates MC, et al. Management of thyroid nodules detected at US: society of radiologists in ultrasound consensus conference statement. Radiology 2005; 237: 794-800.

4. Lin JD, Hsueh C, Chen JY. Clinical applications of thyroid ultrasonography. The Endocrinologist 2006: 16(6): 319-22.

5. Kim EK, Park CS, Chung WY. New sonographic criteria for recommending fineneedle aspiration biopsy of nonpalpable solid nodules of the thyroid. AJR 2002; 178: 687-91.

6. Yen HC, Futterweit W, Gilbert P. Micronodulation; ultrasonographic sign of Hashimoto Thyroiditis. J Ultrasound Med 1996; 15: 813-19.

7. Mackenzie EJ, et al. Thyroid nodules and thyroid cancer. Med J Aust 2004; 180: 242-7.

8. Marquesee E, et al. Usefulness of ultrasonography in the management of nodular thyroid disease. Ann Intern Med 2000; 133: 696-700.

9. Tomimori EK, et al. Ultrasonographic evaluation of thyroid nodules: comparison with cytologic and histologic diagnosis. Arq Bras Endocrinol Metabol 2004; 48: 105-13.