Ultrasound characteristics of nodules in the thyroid gland

Autor: Vlada Mitov, Vanja Antić, Aleksandar Jolić, Aleksandar Aleksić, Nataša Savić
Rok vydání: 2021
Předmět:
Zdroj: Timocki medicinski glasnik. 46:93-102
ISSN: 2406-1042
0350-2899
DOI: 10.5937/tmg2102093a
Popis: Nodules in the thyroid gland are very common and can be found in 50-68% of adults in the general population. Only about 5% of these nodules are malignant and require treatment. They usually do not give any discomfort. When they are discovered, they should be assessed on the basis of clinical, echosonographic and cytological findings, and if necessary, using additional diagnostic methods, and make a decision on the need for treatment. Based on the ultrasound characteristics of the nodule, it is decided whether further diagnosis is needed, in terms of aspiration puncture with a thin needle (FNA) and cytological examination, after which a decision is made on further procedure. Ultrasound is the initial diagnostic method for the detection of thyroid nodules. In addition to the presence of nodules, it accurately determines the size, location and number of nodules in the thyroid gland (thyroid). This noninvasive screening method is safe, harmless and can be repeated. FNA is a very important diagnostic method, but its performance must be selective, since systematic puncture of all nodes, regardless of size or appearance, is not recommended. It is important that the indications for FNA be based on clinical characteristics, as well as on echosonographic stratification of the risk of malignancy.
Databáze: OpenAIRE