[Ultrasound Profile Of Thyroid Spheres At The University Hospital Of Bouaké (Côte d'Ivoire)].

Le Mali medical Pub Date : 2023-01-01
Kouamé Paul Bonfils Kouassi, Bouassa Davy Mélaine Kouakou, Emile Tanoh Kessé, Akoli Baudouin Bravo-Tsri, Vanga K Marius, Allou Florent Kouadio, Brou Lambert Yao, Sara Carole Sanogo, Malick Soro, Fabrice Ede, Issa Konaté
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Abstract

Introduction: Ultrasound is the first-line examination in the morphological exploration of the thyroid. It is an excellent diagnostic and prognostic tool in nodular thyropathy.

Objective: to determine the profile of thyroid nodules on ultrasound according to the EU-TIRADS classification.

Material and methods: descriptive cross-sectional study carried out in the radiology department of the University Hospital of Bouaké during one year. We included all thyroid ultrasound reports of patients with thyroid nodules. Data were analysed using Epi Info 7 software.

Results: A total of 60 patients had nodules out of 97 referred for thyropathy (60.8%). The mean age was 45.6 years [13-82 years]. Females predominated with 82.7%. Anterior cervical swelling was the main indication in 72%. Thyroid volume was increased in 63% of patients with a mean volume of 71 cm3. Solitary nodules were present in 46.55%. Spongiform nodules were predominant in 32%. The nodules were solid in 29.8% and mixed in 16.5%. Hypoechogenicity was found in 44.8% of solid nodules. Lesions were classified as EU-TIRADS 2 in 58.8%, EU-TIRADS 3 in 23.5%, EU-TIRADS 4 in 14.7% and EU-TIRADS 5 in 2.9%.

Conclusion: The characterisation and classification of thyroid nodules is an important step in the management of patients. In our study, these nodules are essentially benign (EU-TIRADS 2 and 3) with a female predominance. A decision tree taking into account the clinical and cytopathological elements would be more useful for possible surgery.

[科特迪瓦布瓦凯大学医院甲状腺球体的超声波特征]。
简介超声是甲状腺形态学检查的第一线检查。材料与方法:布瓦凯大学医院放射科在一年时间内开展的横断面描述性研究。我们纳入了所有甲状腺结节患者的甲状腺超声报告。数据使用 Epi Info 7 软件进行分析:在97名因甲状腺病转诊的患者中,共有60名患者(60.8%)患有甲状腺结节。平均年龄为 45.6 岁 [13-82 岁]。女性居多,占 82.7%。颈椎前部肿胀是72%患者的主要病因。63%的患者甲状腺体积增大,平均体积为71立方厘米。46.55%的患者有单发结节。32%的患者以海绵状结节为主。实性结节占 29.8%,混合性结节占 16.5%。44.8%的实性结节为低瘀血性。58.8%的病变被归类为EU-TIRADS 2,23.5%的病变被归类为EU-TIRADS 3,14.7%的病变被归类为EU-TIRADS 4,2.9%的病变被归类为EU-TIRADS 5:甲状腺结节的特征和分类是治疗患者的重要一步。在我们的研究中,这些结节基本上是良性的(EU-TIRADS 2 和 3),女性占多数。考虑到临床和细胞病理学因素的决策树对可能的手术会更有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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