Journal Mobile Options
Table of Contents
Vol. 2, No. 1, 2013
Issue release date: March 2013
Section title: Clinical Thyroidology / Original Paper
Eur Thyroid J 2013;2:37-48

Standardized Ultrasound Report for Thyroid Nodules: The Endocrinologist's Viewpoint

Andrioli M.a · Carzaniga C.a · Persani L.a, b
aDivision of Endocrine and Metabolic Diseases, San Luca Hospital, Istituto Auxologico Italiano, and bDipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan, Italy

Do you have an account?

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password

Contact Information

I have read the Karger Terms and Conditions and agree.


Background: Ultrasonography (US) plays a crucial role in the diagnostic management of thyroid nodules, but its widespread use in clinical practice might generate heterogeneity in ultrasound reports. Objectives: The aims of the study were to propose (a) a standardized lexicon for description of thyroid nodules in order to reduce US reports of interobserver variability and (b) a US classification system of suspicion for thyroid nodules in order to promote a uniform management of thyroid nodules. Methods: Relevant published articles were identified by searching MEDLINE at PubMed combining the following search terms: ultrasonography, thyroid, nodule, malignancy, carcinoma, and classification system. Results were supplemented with our data and experience. Results: A standardized US report should always document position, extracapsular relationships, number, and the following characteristics of each thyroid lesion: shape, internal content, echogenicity, echotexture, presence of calcifications, margins, vascularity, and size. Combining the previous US features, each thyroid nodule can be tentatively classified as: malignant, suspicious for malignancy, borderline, probably benign, and benign. Conclusions: We propose a standardized US report and a tentative US classification system that may become helpful for endocrinologists dealing with thyroid nodules in their clinical practice. The proposed classification does not allow to bypass the required cytological confirmation, but may become useful in identifying the lesions with a lower risk of neoplasm.

© 2013 European Thyroid Association


Author Contacts

Massimiliano Andrioli, MD, PhD or Luca Persani, MD, PhD
Ospedale San Luca, IRCCS
Istituto Auxologico Italiano, P. le Brescia 20
IT-20149 Milan (Italy)
E-Mail or


Article Information

Received: November 27, 2012
Accepted after revision: January 14, 2013
Published online: February 23, 2013
Number of Print Pages : 12
Number of Figures : 1, Number of Tables : 1, Number of References : 69


Publication Details

European Thyroid Journal (Official Journal of the European Thyroid Association)

Vol. 2, No. 1, Year 2013 (Cover Date: March 2013)

Journal Editor: Wiersinga W.M. (Amsterdam)
ISSN: 2235-0640 (Print), eISSN: 2235-0802 (Online)

For additional information:

Article / Publication Details

First-Page Preview
Abstract of Clinical Thyroidology / Original Paper

Received: 11/27/2012 9:20:13 AM
Accepted: 1/16/2013
Published online: 2/22/2013
Issue release date: March 2013

Number of Print Pages: 12
Number of Figures: 1
Number of Tables: 1

ISSN: 2235-0640 (Print)
eISSN: 2235-0802 (Online)

For additional information:

Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.