Limitations of ultrasound in predicting bilaterality vs unilaterality of well-differentiated carcinoma of the thyroid.


Journal

American journal of otolaryngology
ISSN: 1532-818X
Titre abrégé: Am J Otolaryngol
Pays: United States
ID NLM: 8000029

Informations de publication

Date de publication:
Historique:
received: 30 12 2019
revised: 24 04 2020
accepted: 03 05 2020
pubmed: 1 6 2020
medline: 20 11 2020
entrez: 1 6 2020
Statut: ppublish

Résumé

The purpose of this study is to assess the efficacy of ultrasonography in the differentiation of a bilateral and a unilateral WDTC to help physicians decide on performing a total or a partial thyroidectomy. Retrospective chart review of all patients diagnosed with papillary thyroid carcinoma following a total thyroidectomy or a complete thyroidectomy between January 2013 and December 2015 at the Department of Otorhinolaryngology and Head and Neck Surgery in Soroka University Medical Center in southern Israel. The preoperative ultrasound images of the thyroid were compared to the final pathology in the contralateral lobe. Seventy seven patients (77) were included in this study, There was no correlation between the sonography in the contralateral lobe and the malignancy on that side (p = 0.479). US had a 39% false negative rate and 69% false positive rate. The patients with a well-differentiated carcinoma of the thyroid, a benign nodule detected sonographically in the contralateral lobe should not bear a high weight in decision making regarding the extent of surgery.

Identifiants

pubmed: 32474327
pii: S0196-0709(20)30234-9
doi: 10.1016/j.amjoto.2020.102543
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102543

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Anat Bahat Dinur (A)

Department of Otolaryngology and Head and Neck Surgery, Soroka Medical Center, Israel.

Elhanan Quint (E)

Department of Surgery B, Soroka Medical Center, Beer Sheva, Israel.

Liliana Lupo (L)

Department of Radiology, Soroka Medical Center, Beer Sheva, Israel.

Merav Fraenkel (M)

Faculty of Health Sciences, Ben-Gurion University of the Negev and Soroka Medical Center, Israel; Endocrinology Unit, Soroka Medical Center, Beer Sheva, Israel.

Sabri El-Saied (S)

Department of Otolaryngology and Head and Neck Surgery, Soroka Medical Center, Israel; Faculty of Health Sciences, Ben-Gurion University of the Negev and Soroka Medical Center, Israel. Electronic address: soltaneh@hotmail.com.

Ben-Zion Joshua (BZ)

Department of Otolaryngology and Head and Neck Surgery, Soroka Medical Center, Israel; Faculty of Health Sciences, Ben-Gurion University of the Negev and Soroka Medical Center, Israel.

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