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148538

Recent Advances of TIRADS Classification of Thyroid Nodules by Ultrasound

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Last updated: 03 Jan 2025

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Abstract

Background: Thyroid nodules are abnormal growths of thyroid tissue which commonly arise within an otherwise normal thyroid gland. They may be hyperplasia or a thyroid neoplasm, but only a small percentage of the latter are thyroid cancers.
Objectives: To improve the management of the patients and to reduce cost-effectiveness by decreasing number of unnecessary fine needle aspiration cytology (FNAC).
Patients and Methods: This study was conducted on 50 patients known or clinically suspected to have solitary thyroid nodule or multiple nodules, referred to Radiodiagnosis Department, Ain Shams University Hospitals. The cases included 33 females and 17 males (age between 41-50 years).
Results: All the nodules with TIRADS 1 were benign. In TIRADS 2 there were 10 benign and 1 malignant nodules. In TIRADS 3 there were 4 benign and 1 malignant nodules. In TIRADS 4 there were 2 benign nodules and 4 benign nodules while in TIRADS 5 there were 2 benign and 4 malignant nodules. There was a statistically significant difference between the two groups. There was a statistically significant difference between the two groups with benign and malignant nodules regarding the texture of the nodules. Solid texture was higher in the malignant nodules and spongiform texture was common in the benign nodules while the cystic and mixed texture were comparable between the two groups.
Conclusion: The major ultrasound features seen associated with malignancy were microcalcifications, taller than wider shape of the nodule, hypoechoic and marked hypoechoic echopattern of the nodule, irregular borders and presence of suspicious cervical lymph nodes.

DOI

10.21608/ejhm.2021.148538

Keywords

Thyroid nodules, TIRADS Classification, Ultrasound

Authors

First Name

Ayman Mohammed

Last Name

Ibrahim

MiddleName

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Affiliation

Radiodiagnosis Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Wessam Sherin

Last Name

Shokry

MiddleName

-

Affiliation

Radiodiagnosis Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Hanan Ebrahim Mousa

Last Name

Ebrahim

MiddleName

-

Affiliation

Radiodiagnosis Department, Faculty of Medicine, Ain Shams University

Email

hananibrahim.010@gmail.com

City

-

Orcid

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Volume

82

Article Issue

3

Related Issue

21630

Issue Date

2021-01-01

Receive Date

2021-02-14

Publish Date

2021-01-01

Page Start

542

Page End

550

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 3_Pages 542-550.pdf

PDF . 566.4kB

Link

https://ejhm.journals.ekb.eg/article_148538.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=148538

Order

24

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Recent Advances of TIRADS Classification of Thyroid Nodules by Ultrasound

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Article

Created At

22 Jan 2023