Background: The prevalence of thyroid incidentaloma is variable and always created the dilemma of how to manage them. The objective was to determine the frequency of thyroid incidentalomas in a University Hospital.

Methods: A descriptive, transversal, prospective study was done; a non-probabilistic sample was used with patients who met the following criteria: >18 years, indiscriminate sex, and an image that included neck: ultrasound, computed tomography and/or magnetic resonance. Patients with known or suspected thyroid nodule or any other thyroid disease and pregnant women were excluded. Descriptive statistics were used.

Results: 153 patients who had the criterion; 11 patients had an incidentaloma (7.18%). Females were more frequent with seven cases (63.6%), the mean age was 56.9 years. Morphologically only a single thyroid nodule was detected. The nodules were smaller than 1.5 cm.

Conclusions: The prevalence documented in our study is smaller than other reports, it is proposed monitoring patients with thyroid incidentalomas according to current consensus guidelines.

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