Standardized Ultrasound Report for Thyroid Nodules: The Endocrinologist's ViewpointAndrioli M. · Carzaniga C. · Persani L.
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
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.
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 email@example.com or firstname.lastname@example.org
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
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: http://www.karger.com/ETJ
|Direct payment||This item at the regular price: USD 38.00|
|Payment from account||With a Karger Pay-per-View account (down payment USD 150)
you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50