13,823 results match your criteria: "Thyroid Nodule"

Background: Accurately diagnosing thyroid nodules is vital for preventing unnecessary surgeries and providing prompt therapy. Although fine-needle aspiration cytology (FNAC) and ultrasonography (US) are widely used diagnostic methods, their reliability is questioned. This study investigates the effectiveness of US and FNAC in thyroid nodule diagnosis and differentiates benign from malignant nodules in relation to final histopathological diagnosis.

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Article Synopsis
  • The study examines thyroid tumors with isolated RAS mutations, comparing their oncologic outcomes to tumors with isolated BRAF mutations using comprehensive molecular testing.
  • A total of 368 patients with Bethesda III-VI thyroid nodules were reviewed, revealing that 14% had isolated RAS mutations, with a 46% malignancy rate but no instances of structural recurrence after 5 years.
  • The findings suggest that isolated RAS-mutated tumors have lower aggressive characteristics, indicating that thyroid lobectomy may be an adequate treatment option for these patients.
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[Use of clinical ultrasound in primary care: Thyroid nodule].

Semergen

December 2024

Medicina Familiar y Comunitaria, Centro de Salud Don Benito Oeste, Don Benito, Badajoz; Miembro del Grupo de Trabajo de Ecografía de SEMERGEN, España.

The thyroid nodule is a frequent lesion within the thyroid. Its incidence is between 50%-60% and most of them are asymptomatic and benign (90-95%) and its diagnosis is frequently made as an incidental finding. The main objective of their study is to rule out thyroid cancer.

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This article presents a dataset containing 641 images of Thyroid Gammagraphies studies corresponding to 235 patients over 18 years of age that were acquired in the period from 2016 to 2024 at the Nuclear Medicine Service of the of the (IICS - UNA), Paraguay. First, the Thyroid Gammagraphies images were acquired according to the acquisition protocol described in this article. The thyroid scintigraphies images were acquired using trimodal SPECT-CT-PET equipment, model AnyScan SCP, MEDISO brand.

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Afirma Genomic Sequencing Classifier (GSC) testing has been utilized for further risk stratification of thyroid nodules categorized as atypia of undetermined significance (AUS). The 2023 Bethesda system subcategorizes AUS diagnosis into AUS with nuclear atypia (AUS-N) and other atypia (AUS-O). The current study aims to determine if performance of GSC testing differs between the two AUS subcategories and between single AUS cohort and repeat AUS cohort.

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Clinical management of indeterminate thyroid nodules needs to be revisited. New evidence for a personalized approach to the problem.

J Endocrinol Invest

December 2024

Endocrinology Section, Department of Clinical and Experimental Medicine, Garibaldi Nesima Hospital, University of Catania, Catania, Italy.

Purpose: Thyroid nodules diagnosed by fine needle aspiration cytology (FNAC) as TIR3A or Class III subgroup "other types of atypia" (indeterminate thyroid nodules - ITNs), are the only ones without a unique clinical action indicated for management. This leads to multiple FNAC repetitions (FNAC-reps) and lifelong follow-up, with huge consumption of time and resources. The aims of the study were to inquire the usefulness of repeating FNAC in ITNs and perform an evaluation of a long-term follow-up of a large cohort of ITNs.

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  • The study evaluated a multivariate regression model that uses ultrasound findings and serum markers to predict thyroid cancer metastasis among 98 patients.
  • It categorized patients into two groups: those with metastasis (20 patients) and without (78 patients), and examined various indicators for their predictive value.
  • Results showed that a combination of ultrasound signs and serum markers significantly improved prediction accuracy, highlighting the model's potential for enhancing early detection and intervention in thyroid cancer cases.
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[Application of 9-gene panel in assisting fine needle aspiration cytology to diagnose thyroid cancer].

Zhonghua Zhong Liu Za Zhi

November 2024

Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing100021, China.

Article Synopsis
  • The study investigates the effectiveness of a 9-gene panel for diagnosing thyroid nodules that have indeterminate cytological results, compared to traditional BRAF V600E single-gene detection.
  • Researchers analyzed 579 thyroid nodule samples from patients, using next-generation sequencing to identify mutations in nine specific genes associated with cancer.
  • The results showed that 47.5% of tested nodules had mutations, with a majority of identified malignant cases linked to the BRAF gene, demonstrating the panel's potential as a diagnostic tool alongside standard cytology methods.
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  • The article DOI: 10.3389/fendo.2021.686849 has been revised for accuracy.
  • This correction aims to address errors or clarifications in the original text.
  • Readers are encouraged to refer to the updated version for the most accurate information.
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  • Ultrasonography and Strain Elastography are crucial for diagnosing thyroid lesions in children, who have a higher risk of malignancy than adults, thus often requiring a fine-needle aspiration biopsy (FNAB).
  • A study analyzing 123 FNABs in children with thyroid nodules showed that 19 were malignant, 5 were low-risk tumors, and the rest were benign, with significant differences observed in Strain Ratio (SR) values across these groups.
  • The results indicated a clear distinction in SR values between malignant and both benign and low-risk tumors, highlighting the importance of elastography in evaluating the risk of thyroid nodules in pediatric patients.
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  • Neck masses, especially branchial cysts, are common and usually benign, but this case report describes a rare instance of papillary thyroid carcinoma (PTC) mimicking a branchial cyst in a young woman.
  • A 35-year-old woman had a slow-growing neck mass that was initially thought to be a branchial cyst but was ultimately diagnosed as metastatic PTC after further evaluation.
  • The case emphasizes the need for careful examination and pathological assessment of neck masses, as they can sometimes indicate underlying malignancies.
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  • This study assessed the effectiveness of combining contrast-enhanced ultrasonography (CEUS) with fine-needle aspiration biopsy (FNAB) for diagnosing thyroid nodules in 120 patients.
  • Results showed that CEUS-guided FNAB had significantly higher sensitivity, specificity, and overall accuracy compared to using CEUS alone, particularly in identifying various types of thyroid cancer.
  • The findings suggest that this combined approach not only helps differentiate between benign and malignant nodules but also aids in determining the type and stage of thyroid cancer, enhancing diagnostic value significantly.
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Microwave ablation for benign thyroid nodules with cosmetic problems and related factors for post-ablative complete relief: a two-center retrospective study.

Endocrine

November 2024

Department of Ultrasound, Institute of Ultrasound in Medicine and Engineering, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.

Purpose: To investigate the efficacy of ultrasound (US)-guided percutaneous MWA for benign thyroid nodules with cosmetic problems and identify related factors contributing to post-ablative complete relief (CR).

Methods: This retrospective study reviewed the efficacy of MWA in treating thyroid nodules in patients with cosmetic problems who underwent MWA from January 2021 to May 2023. Patients were followed up at 1, 3, and 6 months after MWA.

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Background: Fine-needle aspiration (FNA) biopsy is typically used in conjunction with cytopathologic evaluation to differentiate between benign and malignant thyroid nodules. Even so, the cytology results for 20-30% of thyroid nodules are indeterminate. This study sought to evaluate the usefulness of next-generation sequencing (NGS)-based multi-gene panel testing for risk stratification and the differentiation of benign from malignant thyroid nodules.

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Purpose: To compare the diagnostic performance of six different currently available guidelines including the American College of Radiology Thyroid Imaging and Reporting Data System (ACR-TIRADS), Kwak-TIRADS, Korean TIRADS (K-TIRADS), European TIRADS (EU-TIRADS), American Thyroid Association (ATA) and Chinese TIRADS (C-TIRADS), in differentiating malignant from benign thyroid nodules (TN).

Materials And Methods: In this single-center study, between January-2007 and September-2023, ultrasound (US) images of TNs that were pathologically proven either by surgery or by fine needle aspiration biopsy (FNAB), were retrospectively evaluated and categorized according to six different currently available guidelines. Area under curve (AUC), sensitivity, specificity, positive and negative predictive values (PPV and NPV, respectively) and miss rates for malignancy (MRM) were calculated for each guideline.

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Objective: The ACR Thyroid Imaging, Reporting, and Data System (TI-RADS) uses a score based on ultrasound (US) imaging to stratify the risk of nodule malignancy and recommend appropriate follow-up. This study aims to analyze US reports and explore how Natural Language Processing (NLP) leveraging Transformers models can classify ACR TI-RADS from text reports using the description of thyroid nodule features.

Materials And Methods: This retrospective study evaluated 16,847 thyroid-free text reports from our institution.

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