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Volume 24, Issue 105, September - October, 2020

Radio-cytopathologic correlation of the thyroid nodule

Atiya Al Zahrani1, Yousaf Alawi1, Amjad Khan2, Osama Mukhtar3, Ibrahim Mahmoud Ajwah4♦, Faisal Atallah Alatawi4, Mohammed Ali Albalawi4, Hanan Rizqallah Alharbi5, Abdulaziz Saeed Alghamdi6, Rawan Defallah Alzahrani6, Hayat Mohammed Alharbi6, Raghad Turki Asiri6, Alshayma’a Akram Alanazi6, Waad Maher Alqulayti7, Roaid Khan8

1General surgery department, Breast and Endocrine Surgery, KSAFH, Tabuk, Saudi Arabia.
2Pathology department, KSAFH, Tabuk, Saudi Arabia.
3Oncology department, KSAFH, Tabuk, Saudi Arabia.
4Internal medicine department, KSAFH, Tabuk, Saudi Arabia.
5Medical Intern, University of Tabuk, Saudi Arabia.
6Medical student, University of Tabuk, Saudi Arabia.
7Internal Medicine Resident, National Guard hospital, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
8Internal medicine department, Endocrinology, KSAFH, Tabuk, Saudi Arabia.

♦Corresponding author
Ibrahim Mahmoud Ajwah, King Salman Armed Forced Hospital PO Box 3458 Tabuk 51937, Saudi Arabia. Email address: Aj.wa@hotmail.com / Telephone number: 00966566450011

ABSTRACT

Background: Ultrasonographic features of thyroid nodule are very helpful in predicting the risk of thyroid cancer. Fine-needle aspiration (FNA) is the primary diagnostic methodology used for thyroid nodule evaluation. Presence of ultrasonographic future suggestive of non- benign thyroid nodules may consider a way to decide which nodules should be sampled and subsequently, reduce the unnecessary biopsies. Of note up to one third of fine needle aspiration biopsies may be non-diagnostic, requiring open surgical biopsy for diagnosis. The current study aimed to correlate the ultrasonographic findings of thyroid nodule with malignancy. Methods: Retrospective cohort study was performed at King Salman Armed Forced Hospital to evaluate ultrasonographic finding in relation to cytology and histopathology. Result: Cytology results in relation to ultrasound finding show that malignancy was associated with larger nodule size, nodules containing intranoduler blood supply as well as irregular nodular border. Conclusion: Radiological assessment of thyroid nodule by experience radiologist in thyroid sonography is encouraged looking for high risk radiological finding suggestive of malignant thyroid nodule such as large, hypo echoic, irregular nodule.

Keywords: Thyroid nodule, Ultrasound, Malignant

Medical Science, 2020, 24(105), 3828-3834
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