Ces radiol. 2018, 72(1):22-26 | DOI: 10.55095/CesRadiol2018/004
Incidental ultrasound findings in thyroid in normal adult populationOriginal article
- 1 Radiologická klinika Lékařské fakulty Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc
- 2 Otorinolaryngologická klinika Lékařské fakulty Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc
Aim: The aim of this study was to assess the number of pathological ultrasound findings in the thyroid gland in asymptomatic Czech adult population and to find possible correlation with gender, age and body mass index.
Methods: Sonographic examinations of the neck were conducted in 156 healthy volunteers. The amount of incidental findings and their association with gender, age, and body mass index were assessed.
Results: Incidental findings were found in 48 (30.8%) subjects. Forty-four (28.2%) were focal lesions and 4 subjects (2.6%) had the ultrasound appearance of thyroiditis. Five subjects with sonographically suspicious nodules were sent for FNAC and in two cases papillary carcinoma was diagnosed. We found a significantly higher number of nodules with increasing age (p = 0.04) and significantly more thyroid cysts in women (p = 0.03).
Conclusion: The number of pathological ultrasound findings in the thyroid gland in our study of Czech adult population was high (30.8%), we even found malignant lesions. The numbers correspond with results from other countries.
Keywords: incidental findings, thyroid gland, thyroid nodule, thyroiditis
Grants and funding:
Práce byla podpořena granty AZV MZ ČR16-31881A, MZ ČR RVO (FNOL, 00098892) a interním grantem Palackého Univerzity v Olomouci IGA LF 2017-04.
Accepted: February 15, 2018; Published: March 1, 2018 Show citation
References
- Schmidt G. Differential diagnosis in ultrasound. New York: Thieme 2006; 417.
Go to original source...
- Acar T, Ozebek SS, Acar S. Incidentally discovered thyroid nodules: frequency in an adult population during Doppler ultrasonographic evaluation of cervical vessels. Endocrine 2014; 45: 73-78.
Go to original source...
Go to PubMed...
- Bandhauer F. Incidental ultrasound detection of thyroid nodule: what next? Schweiz Med Wochenschr Suppl 2000; 116: 66-69.
- Olusola-Bello MA, Agunloye AM, Adeyinka AO. Ultrasound prevalence and characteristics of incidental thyroid lesions in Nigerian adults. Afr J Med Med Sci 2013; 42: 125-130.
- Jiang H, Tian Y, Yan W, et al. The prevalence of thyroid nodules and an analysis of related lifestyle factors in Beijing communities. Int J Environ Res Public Health 2016; 13(4): 442.
Go to original source...
Go to PubMed...
- Kim KH, Woo SH. An Occupational Study in Nurses: Prevalence of thyroid nodules and cancer in comparison to health check-up female. Clin Exp Otorhinolaryngol 2016; 9(3): 252-256.
Go to original source...
Go to PubMed...
- Liebeskind A, Sikora AG, Komisar A, et al. Rates of malignancy in incidentally discovered thyroid nodules evaluated with sonography and fine-needle aspiration. J Ultrasound Med 2005; 24: 629-634.
Go to original source...
Go to PubMed...
- Jin J, McHenry ChR Thyroid incidentaloma. Best Pract Res Clin Endocrinol Metab 2012; 26: 83-96.
Go to original source...
Go to PubMed...
- Hoang JK, Nguyen XV, Davies L. Overdiagnosis of thyroid cancer: answers to five key questions. 2015; 22: 1024-1029.
- Iyer NG, Shaha AR, Silver CE, et al. Thyroid incidentalomas: to treat or not to treat. Eur Arch Otorhinolaryngol 2010; 267(7): 1019-1026. doi: 10.1007/s00405-010-1207-1
Go to original source...
Go to PubMed...
- Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid 2016; 26(1): 1-133.
Go to original source...
Go to PubMed...
- Russ G, Bonnema SJ, Erdogan FM, et al. European Thyroid Association Guidelines for ultrasound malignancy risk stratification of thyroid nodules in adults: the EU-TIRADS. Eur Thyroid J 2017; 6: 225-237.
Go to original source...
Go to PubMed...
- Langer JE, Baloch ZW, McGrath C, et al. Thyroid nodule fine-needle aspiration. Semin Ultrasound CT MRI 2012; 33: 158-165.
Go to original source...
Go to PubMed...
- Datta RV, Petrelli NJ, Ramzy J. Evaluation and management of incidentally discovered thyroid nodules. Surg Oncol 2006; 15: 33-42.
Go to original source...
Go to PubMed...
- Cibas ES, Ali SZ. The Bethesda System for Reporting Thyroid Cytopathology. Thyroid 2009; 19(11): 1159-1165.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.