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- Title
Role of Macrocalcification in Raising the Suspicion of Malignancy among the ACR TIRADS Thyroid Nodules Detected by Ultrasonography.
- Authors
Abdelrahman, Ahmed Samy; Ahmed Farag, Amina Mohamed; Amr Mohamed, Dina Mohamed
- Abstract
Background: Thyroid nodules are a frequent finding on neck sonography. The US is the most commonly used imaging technique for the evaluation of thyroid nodules. The Thyroid Imaging, Reporting and Data System (TIRADS) developed by the American college of radiology (ACR) for classification of thyroid nodules is a practical and convenient method for risk stratification of thyroid malignancy, based on allocating points for different sonographic features of thyroid nodules in five morphologic categories (composition, echogenicity, margins, shape, and presence of echogenic foci). Objective: To evaluate the role of macrocalcification in raising the suspicious of malignancy among ACR TIRADS 3 and 4 group without macrocalcification Patients and Methods: Our study was conducted on 60 adult patients, 20 patients with TIRADS 3 nodule, 20 patients with TIRADS 4 group with macrocalcification nodules and 20 patients group TIRADS 4 without macrocalcification nodules, whose ages range between 23 and 65 years old and were referred to undergo FNA procedures. Results: The present study concludes parenchymal macrocalcifications showed no statistically significant difference in raising percentage of malignancy among TIRADS 4 patients. Conclusion: We conclude that the added macrocalcification showed no statistically significant difference in raising percentage of malignancy compared to TIRADS 4 without calcification group. Also, presence of macrocalcification should not prevent clinicians from making further assessments in case of nondiagnostic results to exclude their association with rather than their causal relation with thyroid malignancies.
- Subjects
THYROID nodules; THYROID cancer; ULTRASONIC imaging; NEEDLE biopsy; SUSPICION; ADULTS
- Publication
QJM: An International Journal of Medicine, 2024, Vol 117, pi243
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcae070.563