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A sonographic scoring system to assess the risk of thyroid malignancy

Authors:

A Pathirana ,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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K G M W Bandara,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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MA Faleel,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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S D Kuruppumullage,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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N Solangarachchi,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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R Rupasinghe,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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N P N Karunaratne,

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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D D Ranasinghe,

Department of Radiology, Colombo South Teaching Hospital, Kalubowila, LK
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W A Epa,

Department of Radiology, Colombo South Teaching Hospital, Kalubowila, LK
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V Thusyanthan

University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, LK
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Abstract

Prediction of thyroid malignancy with fine needle aspiration cytology or individual ultrasound characteristics has several limitations. This study evaluates the usefulness of a combination of ultrasound characteristics in predicting malignancy in patients with thyroid nodules. We assessed 189 thyroid nodules using ultrasonography and histology. Each nodule was assigned a score based on ultrasonographic characteristics. This score was compared with histology to identify ability to predict malignancy. There were 28 malignant nodules. The scoring system was appropriate for clinical use, obtaining an area under ROC curve of 0.822 [p< 0.0001] 95% confidence. FNAC of nodules with a score of more than 4 can be recommended (100% sensitivity). Nodules with a score less than 8 can be offered total thyroidectomy when FNAC is inconclusive (97.5% sensitivity). A combination of ultrasonographic criteria increase the accuracy of predicting malignancy in thyroid nodules.

DOI: https://doi.org/10.4038/cmj.v61i1.8268
How to Cite: Pathirana, A., Bandara, K.G.M.W., Faleel, M., Kuruppumullage, S.D., Solangarachchi, N., Rupasinghe, R., Karunaratne, N.P.N., Ranasinghe, D.D., Epa, W.A. and Thusyanthan, V., 2016. A sonographic scoring system to assess the risk of thyroid malignancy. Ceylon Medical Journal, 61(1), pp.32–34. DOI: http://doi.org/10.4038/cmj.v61i1.8268
Published on 21 Mar 2016.
Peer Reviewed

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