IMAGING CHARACTERISTICS OF THYROID SOLITARY NUCLEI FROM 10 TO 25 MM ON 2D ULTRASOUND AT K TAN TRIEU HOSPITAL

Văn Hưng Nguyễn, Ngọc Trung Nguyễn, Thu Hương Nguyễn

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Abstract

Objectives: Characterize the imaging characteristics of thyroid solitary nuclei from 10 to 25 mm on ultrasound 2D. Subjects and methods: The study was conducted on patients visiting and treated at K Tan Trieu Hospital from 08/2018 to 06/2019 with 158 patients. Result: Armor kernel has height> width 63 accounts for 39.9%, height and width is 95 accounting for 60.1%; The core has a smooth bank 52 accounting for 32.9%, a multi-arc bank 69 accounting for 43.7%, an invasive bank 23 accounting for 14.6%, an unknown shore 14 accounting for 8.9%; Hypotonic thyroid nucleus 50 accounts for 31.7%, very hypotonic 102 accounts for 64.6%, homophony/hypertonic 6 accounts for 3.7%; The thyroid nucleus without calcification 58 accounts for 36.7%, coarse calcification 15 accounts for 9.5%, marginal calcification 2 accounts for 1.3%, microcalcification 83 accounts for 52.5%. Conclusion: Features of height greater than width, microcalcification, very hypoplasia, multiarc/invasive margin on ultrasound 2 D are valuable in suggestive and diagnostic of malignant thyroid nuclei.

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References

1. Bray F., Ferlay J, Soerjomataram I, et al. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 68(6), 394–424.
2. Moon H.-G, Jung E.-J, Park S.-T, et al. (2007). Role Of Ultrasonography in Predicting Malignancy in Patients with Thyroid Nodules. World J Surg, 31(7), 1410–1416.
3. Tessler F.N., Middleton W.D., Grant E.G., et al. (2017). ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol, 14(5), 587–595.
4. Haugen B.R., Alexander E.K., Bible K.C., et al. (2016). 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 26(1), 1–133.
5. Trần Thúy Hồng, Bùi Văn Lệnh, Lê Tuấn Linh (2013), Đặc điểm hình ảnh và giá trị của siêu âm trong chẩn đoán các tổn thương khu trú tuyến giáp, Bệnh viện đại học y Hà Nội, Hà Nội
6. Nguyễn Kim Sơn (2017), Giá trị của chọc hút kim nhỏ dưới hướng dẫn siêu âm ở nhóm bệnh nhân có nhân giáp TIRADS 3 – 4, Đại học Y Hà Nội.
7. Kwak J.Y., Han K.H., Yoon J.H., et al. (2011). Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. Radiology, 260(3), 892–899.