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Association between Bethesda Categories and Ultrasound Features of Conventional Papillary Thyroid Carcinoma

Authors
 GA RAM KIM  ;  EUN-KYUNG KIM  ;  JIN YOUNG KWAK  ;  JUNG HYUN YOON  ;  HEE JUNG MOON 
Citation
 Ultrasound in Medicine and Biology, Vol.42(5) : 1066-1074, 2016 
Journal Title
 Ultrasound in Medicine and Biology 
ISSN
 0301-5629 
Issue Date
2016
MeSH
Adult ; Carcinoma/diagnostic imaging* ; Carcinoma/epidemiology ; Carcinoma/pathology* ; Carcinoma, Papillary ; Endoscopic Ultrasound-Guided Fine Needle Aspiration/methods* ; Female ; Humans ; Image Enhancement/methods ; Image Interpretation, Computer-Assisted/methods* ; Neoplasm Grading ; Prevalence ; Reproducibility of Results ; Republic of Korea/epidemiology ; Risk Assessment/methods ; Sensitivity and Specificity ; Thyroid Neoplasms/diagnostic imaging* ; Thyroid Neoplasms/epidemiology ; Thyroid Neoplasms/pathology* ; Ultrasonography/methods*
Keywords
Bethesda category ; Conventional subtype ; Fine-needle aspiration ; Papillary thyroid carcinoma ; Ultrasonography
Abstract
The association between categories 3, 5 and 6 of the Bethesda System for Reporting Thyroid Cytopathology and the clinical and ultrasonography (US) features of conventional papillary thyroid carcinoma (PTC) was evaluated. We included 2005 patients diagnosed with conventional PTC at surgery and Bethesda categories 3, 5 and 6 at pre-operative US-guided fine-needle aspiration. Multinomial regression analysis was performed to determine the odds ratio (ORs) of each US feature associated with category 3 or 5, with category 6 as reference. Category 3 and 5 PTCs were smaller (ORs = 0.925 and 0.937) and did not exhibit marked hypo-echogenicity (ORs = 0.341 and 0.268) compared with category 6 PTCs. Category 3 and 5 PTCs exhibited significant macrocalcification (ORs = 2.372 and 1.594) and heterogeneous parenchyma (OR = 1.265 in category 5). In conclusion, conventional PTCs pre-operatively aspirated as Bethesda category 3, 5 or 6 significantly differ in size, macrocalcification, underlying thyroid parenchymal echogenicity and final assessment of US features.
Full Text
http://www.sciencedirect.com/science/article/pii/S030156291600003X
DOI
10.1016/j.ultrasmedbio.2015.12.019
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
곽진영(Kwak, Jin Young) ORCID logo https://orcid.org/0000-0002-6212-1495
김가람(Kim, Ga Ram) ORCID logo https://orcid.org/0000-0002-4481-5792
김은경(Kim, Eun-Kyung) ORCID logo https://orcid.org/0000-0002-3368-5013
문희정(Moon, Hee Jung) ORCID logo https://orcid.org/0000-0002-5643-5885
윤정현(Yoon, Jung Hyun) ORCID logo https://orcid.org/0000-0002-2100-3513
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146540
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