Cited 42 times in
Malignancy Risk Stratification in Thyroid Nodules with Benign Results on Cytology: Combination of Thyroid Imaging Reporting and Data System and Bethesda System
DC Field | Value | Language |
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dc.contributor.author | 김은경 | - |
dc.contributor.author | 문희정 | - |
dc.contributor.author | 곽진영 | - |
dc.date.accessioned | 2015-01-06T16:46:29Z | - |
dc.date.available | 2015-01-06T16:46:29Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 1068-9265 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/98743 | - |
dc.description.abstract | BACKGROUND: The indications of repeat fine-needle aspiration (FNA) for thyroid nodules with benign results of the Bethesda system were investigated. METHODS: A total of 1,398 nodules were classified according to the Thyroid Imaging Reporting and Data System (TIRADS). TIRADS category 3 included nodules without solidity, hypoechogenicity or marked hypoechogenicity, microlobulated or irregular margins, microcalcifications, and taller-than-wide shape on ultrasonography (US). Categories 4a, 4b, 4c, and 5 included nodules with one, two, three or four, or five suspicious US features, respectively. The malignancy risks, and odds ratio (OR) with 95 % confidence interval (CI) were calculated. Analyses were performed for all nodules, nodules >10 mm, and nodules ≤10 mm. RESULTS: Of 1.398 nodules, 43 (3.1 %) were malignanct. The malignancy risks of benign nodules with categories 3, 4a, and 4b were 0.7, 1.2, and 0.7 %, respectively, whereas those for nodules with categories 4c and 5 were 9.8 and 22.2 %, respectively. The ORs of nodules with categories 4c and 5 were 19.4 (95 % CI 5.0-76.2) and 50.6 (95 % CI 10.4-245.0), respectively. In nodules >10 mm, the malignancy risks of categories 4c and 5 were 2.7 and 20 %, respectively, and the ORs were 10.7 (95 % CI 1.2-93.7) and 236.1 (95 % CI 12.6-4426.4), respectively. In nodules ≤ 10 mm, the malignancy risks of categories 4c and 5 were 12.6 and 22.6 %, respectively, and the ORs were 10.1 (95 % CI 1.3-78.0) and 18.9 (95 % CI 2.1-168.9), respectively. CONCLUSIONS: Repeat US-guided FNA should be considered in benign thyroid nodules with three or more suspicious US features regardless of size. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1898~1903 | - |
dc.relation.isPartOf | ANNALS OF SURGICAL ONCOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adenocarcinoma, Follicular/classification | - |
dc.subject.MESH | Adenocarcinoma, Follicular/diagnostic imaging | - |
dc.subject.MESH | Adenocarcinoma, Follicular/pathology* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Biopsy, Fine-Needle | - |
dc.subject.MESH | Carcinoma, Medullary/classification | - |
dc.subject.MESH | Carcinoma, Medullary/diagnostic imaging | - |
dc.subject.MESH | Carcinoma, Medullary/pathology* | - |
dc.subject.MESH | Carcinoma, Papillary/classification | - |
dc.subject.MESH | Carcinoma, Papillary/diagnostic imaging | - |
dc.subject.MESH | Carcinoma, Papillary/pathology* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Image-Guided Biopsy | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Risk Assessment | - |
dc.subject.MESH | Thyroid Neoplasms/classification | - |
dc.subject.MESH | Thyroid Neoplasms/diagnostic imaging | - |
dc.subject.MESH | Thyroid Neoplasms/pathology* | - |
dc.subject.MESH | Thyroid Nodule/classification | - |
dc.subject.MESH | Thyroid Nodule/diagnostic imaging* | - |
dc.subject.MESH | Thyroid Nodule/pathology* | - |
dc.subject.MESH | Tumor Burden | - |
dc.subject.MESH | Ultrasonography | - |
dc.title | Malignancy Risk Stratification in Thyroid Nodules with Benign Results on Cytology: Combination of Thyroid Imaging Reporting and Data System and Bethesda System | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Hee Jung Moon | - |
dc.contributor.googleauthor | Eun-Kyung Kim | - |
dc.contributor.googleauthor | Jin Young Kwak | - |
dc.identifier.doi | 10.1245/s10434-014-3556-2 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00801 | - |
dc.contributor.localId | A01397 | - |
dc.contributor.localId | A00182 | - |
dc.relation.journalcode | J00179 | - |
dc.identifier.eissn | 1534-4681 | - |
dc.identifier.pmid | 24558069 | - |
dc.identifier.url | http://link.springer.com/article/10.1245%2Fs10434-014-3556-2 | - |
dc.subject.keyword | Thyroid Nodule | - |
dc.subject.keyword | Nodule Size | - |
dc.subject.keyword | Benign Nodule | - |
dc.subject.keyword | Irregular Margin | - |
dc.subject.keyword | Malignancy Risk | - |
dc.contributor.alternativeName | Kim, Eun Kyung | - |
dc.contributor.alternativeName | Moon, Heui Jeong | - |
dc.contributor.alternativeName | Kwak, Jin Young | - |
dc.contributor.affiliatedAuthor | Kim, Eun-Kyung | - |
dc.contributor.affiliatedAuthor | Moon, Heui Jeong | - |
dc.contributor.affiliatedAuthor | Kwak, Jin Young | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 21 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1898 | - |
dc.citation.endPage | 1903 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGICAL ONCOLOGY, Vol.21(6) : 1898-1903, 2014 | - |
dc.identifier.rimsid | 38577 | - |
dc.type.rims | ART | - |
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