Purpose
Our purpose isto evaluate the reliability of the EU-TIRADS (European Thyroid Imaging Reporting And Data System) classification for diagnosing thyroid nodules.
Methods and materials
A retrospective study of 213 patients (335 nodules) who underwent thyroid surgery at our ENT department, from 2013 to 2017.
All patients had ultrasonography of the neck.
Benign or malignant nature of the nodules was confirmed by histologic exam in all cases.
Histological results were correlated to the ultrasound findings.
Results
Our study included 193 women and 20 men.
The mean age was 46,8 years.
The percentage of each EU-TIRADS class was: EU-TIRADS 2 = 12,8 %, EU-TIRADS 3 = 43,9 %, EU-TIRADS 4 = 7,2 % and EU-TIRADS 5 = 36,2%.
Thyroid cancer was noted in 14,6% and 85,4% of the cases had benign nodules.
The risk of malignancy was: EU-TIRADS 2 = 4,6 %, EU-TIRADS 3 = 6,1 %, EU-TIRADS 4 = 8,3 % and EU-TIRADS 5 = 80,09 %.
Figure 1 resume the...
Conclusion
Thyroid nodule is a common disease which is mostly discovered incidentally in ultrasonography of the neck, performed for other reason.
Thyroid nodules are mainly benign.
They are often seen in women.
Face to thyroid nodule, the most questions that can be asked: is this nodule benign or malignant ? is surgery necessary or not ?
Ultrasound and fine needle aspiration with cytologic exam are two important tools that can help the physician to adequately manage thyroid nodules.
The increasing availability of thyroid ultrasound and access...
Personal information and conflict of interest
m. Masmoudi:
Nothing to disclose
W. Thabet:
Nothing to disclose
s. lazid:
Nothing to disclose
S. Jerbi:
Nothing to disclose
k. mighri:
Nothing to disclose
References
[1] García-Moncó Fernández C, Serrano-Moreno C, Donnay-Candil S, Carrero-Alvaro J. Acorrelation study between histological results and thyroid ultrasound findings. The TI-RADS classification. Endocrinol Diabetes Nutr. 2018;65(4):206-212