Original Research Article
Year: 2020 | Month: January | Volume: 7 | Issue: 1 | Pages: 142-158
Ultrasonography of Thyroid Lesions with Clinicopathological Correlation
Nikita Jain1, Parthiv Brahmbhatt2, Chandra Ray Chaudhuri3, Aman Singhal4
1Junior Resident 3rd Year, 2Professor, 3HOD,
Department of Radiology, Dhiraj Hospital, Waghodia Road, Piparia, Vadodara, Gujarat - 390019.
4Assistant Professor, Dept of Gen. Surgery, Dhiraj Hospital, Waghodia Road, Piparia, Vadodara, Gujarat - 390019.
Corresponding Author: Nikita Jain
ABSTRACT
Background: Thyroid gland is the most superficial endocrine gland of the human body in the region of neck and is easily accessible to both clinical and Radiological examinations. The thyroid abnormalities like thyroiditis, thyroid nodule, goiter and malignancy must be diagnosed and managed as early as possible. There are a number of diagnostic modalities available including conventional radiography, Ultrasonography (USG), Elastography, Computerized Tomography (CT), Magnetic Resonance Imaging (MRI), and Positron Emission Tomography (PET) scan.
Objectives: To evaluate the demographic profile of patient including age and gender distribution in thyroid lesions. Localization of clinically suspected thyroid nodule by high resolution Ultra-sonography and to differentiate solid from cystic masses, benign from malignant.
Method: The study had been carried out on 70 patients with clinically suspected thyroid disease referred to radiology department.
Results: In my study out of the 70 patients who had Thyroid diseases 78.5% were females and 21.4% were males. Maximum numbers of patients were between 41-50years of age, accounting for 35.7% of the cases. The most common complain noted was ‘lump in the neck’. Maximum number of patients (72.8%) was Euthyroid. The most common pathology noted in the thyroid gland on sonography was Solitary Thyroid Nodule (43.75%). Diagnostic accuracy of high resolution sonography in thyroid diseases was Sensitivity 85.7% and Specificity 95%.
Conclusion: High resolution sonography is a useful modality for evaluation of thyroid diseases. It is reliable in distinguishing normal from abnormal thyroid. Thyroid sonography is useful in defining whether the patient has a diffuse abnormality, a multinodular pathology or a solitary nodule. High resolution sonography can differentiate benign from malignant thyroid nodules and masses in majority of cases. It is useful in diagnosis and follow up of diffuse thyroid diseases i.e. thyroiditis.
Keywords: Carcinoma, Follicular, Hashimotos, Papillary, Thyroiditis.
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