Imaging-Histopathologic Correlation in Patients withIndeterminate Thyroid Nodules at a Tertiary Care Centerin Bogotá: Retrospective Cross-Sectional Descriptive Study(2021–2024)
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Abstract
Introduction: This study aims to establish a correlation in patients with indeterminate Bethesda classifications (III and IV) who underwent partial or total thyroidectomy, in order to assess the diagnostic performance of ultrasound and cytology in relation to the final histopathological outcome. Methods: A descriptive cross-sectional observational study in which medical records and ultrasound records of patients with indeterminate thyroid nodules treated at the Clínica Nueva El Lago (Bogotá, Colombia) were reviewed between April 01, 2021 and February 29, 2024. Results: A total of 164 patients with indeterminate thyroid nodules who underwent surgical procedures were included in the study. Of these, 56.1% (X = 92 patients) presented with malignant pathology, with papillary carcinoma being the most frequent (53%). The remaining 43.9% (Y = 71 patients) who underwent surgical procedures had benign pathology and were classified as indeterminate. Conclusions: Correct ultrasound categorization will guide us to more appropriately select thyroid nodules that are candidates for biopsy, and the correlation of both will help reduce overtreatment of thyroid nodules.
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References
1. Boucai L, Zafereo M, Cabanillas ME. Thyroid cancer. A review. JAMA. 2024;331(5):425-35. https://doi.org/10.1001/ jama.2023.26348
2. Grani G, Sponziello M, Pecce V, Ramundo V, Durante C. Contemporary thyroid nodule Evaluation and Management. J Clin Endocrinol Metab. 2020;105(9):2869-83. https://doi. org/10.1210/clinem/dgaa322
3. Kobaly K, Kim CS, Mandel SJ. Contemporary Management of Thyroid Nodules. Annu Rev Med. 2022;73(1):517-28. https:// doi.org/10.1146/annurev-med-042220-015032
4. Alexander LF, Patel NJ, Caserta MP, Robbin ML. Thyroid ultrasound: Diffuse and Nodular Disease. Radiol Clin North Am. 2020;58(6):1041-57. https://doi.org/10.1016/j.rcl.2020.07.003
5. Ali SZ, Baloch ZW, Cochand-Priollet B, Schmitt FC, Vielh P, VanderLaan PA. The 2023 Bethesda System for Reporting Thyroid Cytopathology. J Am Soc Cytopathol. 2023;12(5):319- 25 .https://doi.org/10.1089/thy.2023.0141
6. Staibano P, Forner D, Noel CW, Zhang H, Gupta M, Monteiro E, et al. Ultrasonography and Fine-Needle Aspiration in Indeterminate Thyroid Nodules: A Systematic Review of Diagnostic Test Accuracy. Laryngoscope. 2022;132(1):242-51. https://doi.org/10.1002/lary.29778
7. Jung SM, Koo HR, Jang KS, Chung MS, Song CM, Ji YB, et al. Comparison of core-needle biopsy and repeat fine-needle aspiration for thyroid nodules with inconclusive initial cytology. Eur Arch Otorhinolaryngol. 2021;278(8):3019-25. https://doi.org/10.1007/s00405-020-06473-y
8. Kim PH, Suh CH, Baek JH, Chung SR, Choi YJ, Lee JH. Unnecessary thyroid nodule biopsy rates under four ultrasound risk stratification systems: a systematic review and meta-analysis. Eur Radiol. 2021;31(5):2877-85. https://doi. org/10.1007/s00330-020-07384-6
9. Rossi ED, Adeniran AJ, Faquin WC. Pitfalls in Thyroid Cytopathology. Surg Pathol Clin. 2019;12(4):865-81. https:// doi.org/10.1016/j.path.2019.08.001