The frequency of malignancy and the relationship between malignancy and ultrasonographic features of thyroid nodules with indeterminate cytology

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dc.contributor.authorTütüncü, Yasemin Ateş
dc.contributor.authorBerker, Dilek
dc.contributor.authorIşık, Serhat
dc.contributor.authorAkbaba, Gülhan
dc.contributor.authorÖzuğuz, Ufuk
dc.contributor.authorKüçükler, Ferit Kerim
dc.contributor.authorGüler, Serdar
dc.date.accessioned2020-04-30T23:33:42Z
dc.date.available2020-04-30T23:33:42Z
dc.date.issued2014
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000331638200007en_US
dc.descriptionPubMed: 23504651en_US
dc.description.abstractVarious approaches are available for the management of nodules that are evaluated to be indeterminate according to the results of thyroid fine needle aspiration biopsy. The present study aimed to determine the rate of malignancy and the ultrasonographic features that could be used as predictor of malignant pathologies at the nodules with indeterminate cytology. A total of 201 patients who underwent total thyroidectomy and whose fine needle aspiration biopsy results were evaluated to be Hurthle cell lesion (n = 99), follicular neoplasm (n = 61) or suspicious for malignancy (n = 41) were enrolled in this study. Of these patients, 178 were females (88.6 %) and 23 were males (11.4 %). The rates of malignancy were found to be 33.3 % in the Hurthle cell lesion group, 23.0 % in the follicular neoplasm group and 53.7 % in the suspicious for malignancy group (p = 0.006). The comparison of the ultrasonographic characteristics of the malignant and benign nodules revealed hypoechogenicity and microcalcification to be more common in malignant nodules (34.3 vs. 16.9 %, p = 0.005; 27.1 vs. 13.1 %, p = 0.014; respectively). While 92.3 % of the malignant nodules were >= 1 cm, 82.9 % of the benign nodules were >= 1 cm (p = 0.042). In the current study, malignancy was observed in 33.3 % of the Hurthle cell lesion group, 23 % of the follicular neoplasm group and 53.7 % of the suspicious for malignancy group. In addition, we detected that microcalcification and benign hypoechoic at patients with indeterminate cytology can be related with increased risk of malignancy. We believe that as the patients at Hurthle cell lesion group have higher risk of malignancy than the patients with Follicular Neoplasia, total thyroidectomy will be suitable for these patients.en_US
dc.identifier.doi10.1007/s12020-013-9922-1en_US
dc.identifier.endpage45en_US
dc.identifier.issn1355-008X
dc.identifier.issn1559-0100
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage37en_US
dc.identifier.urihttps://doi.org/10.1007/s12020-013-9922-1
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5026
dc.identifier.volume45en_US
dc.identifier.wosWOS:000331638200007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherHumana Press Incen_US
dc.relation.ispartofEndocrineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThyroid canceren_US
dc.subjectFollicular neoplasmen_US
dc.subjectHurthle cell neoplasmen_US
dc.subjectSuspicion of malignancyen_US
dc.titleThe frequency of malignancy and the relationship between malignancy and ultrasonographic features of thyroid nodules with indeterminate cytologyen_US
dc.typeArticleen_US

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