Evaluation of the ultrasound findings of thyroid gland enlargement in Cape Coast Teaching Hospital, Ghana: A retrospective cross‐sectional study

Autor: Emmanuel Kobina Mesi Edzie, Klenam Dzefi‐Tettey, Edmund Kwakye Brakohiapa, Obed Nimo, Peter Appiah‐Thompson, Michael Kofi Amedi, Ansumana Bockarie, Frank Quarshie, Emmanuel Onimole, Emmanuel Akorli, Richard Anthony, Richard Ato Edzie, Nana Ama Amankwa, Aaron Amartey, Bernard Osei, Bright Oppong, Abdul Raman Asemah, Philip Narteh Gorleku
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Health Science Reports, Vol 7, Iss 5, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2398-8835
DOI: 10.1002/hsr2.2090
Popis: Abstract Background and Aim Goiter is a major source of morbidity in the world, especially in the developing world, where dietary iodine deficiency, a known cause of this condition, is endemic. The diagnosis is mostly by ultrasonography (USG) scan, which can give anatomical, pathological, and functional information for the management of goiter. This study aimed to determine the commonest ultrasound findings of goiter in Ghana. Method The records of all 213 patients with goiter diagnosed by USG scan over a 5‐year period were retrieved. Data collected were sociodemographics, ultrasound features, thyroid nodules diameter, and Thyroid Imaging Reporting and Data System (TI‐RADS) scores, which were analyzed using GNU PSPP, version 1.2.0‐3. χ2 and two‐tailed independent samples t‐test were also employed, with p ≤ 0.05. Results A total of 213 patients with goiter diagnosed by USG scan were obtained over the study period. The mean age of the participants was 50.01 ± 17.27 years, with an age range of 16−92 years and females constituting the majority (82.16%). The commonest ultrasound features were well‐defined solid nodules. The lesion sites for most patients were the whole thyroid (28.17%), both lobes (24.41%), and the right lobe (20.19%). The mean difference in sizes of cysts and solid nodules among genders was 0.26 (CI: −0.14 to 0.67, p = 0.20) and 0.12 (CI: −0.43 to 0.66, p = 0.67), respectively. The TI‐RADS score featured TI‐RADS 4 (36.62%), TI‐RADS 1 (28.17%), TI‐RADS 3 (25.82%), TI‐RADS 5 (5.16%), and TI‐RADS 2 (4.23%). Solid nodules (49.32%, p = 0.001) and cysts (35.71%, p = 0.003) were more common within 41−60 years and less frequent in those
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