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Prevalence of malignancy in thyroid nodules with AUS cytopathology: A retrospective cross-sectional study.

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Journal of family medicine and primary care 📖 저널 OA 100% 2022: 6/6 OA 2024: 3/3 OA 2025: 2/2 OA 2026: 4/4 OA 2022~2026 2024 Vol.13(9) p. 3822-3828
Retraction 확인
출처

PICO 자동 추출 (휴리스틱, conf 2/4)

유사 논문
P · Population 대상 환자/모집단
추출되지 않음
I · Intervention 중재 / 시술
fine-needle aspiration cytology (FNAC)
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
The correlation between pre-surgery FNAC and postoperative histopathology supports FNAC's diagnostic value. Additionally, echogenicity and calcification can potentially contribute to predicting nodule malignancy.

Alshalaan AM, Elzain WAD, Alfaifi J, Alshahrani J, Al Qahtani MMM, Al Qahtani HAA

📝 환자 설명용 한 줄

[BACKGROUND] Category III (AUS; Atypia of Undetermined Significance) of The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was established to describe thyroid nodule features that are ne

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APA Alshalaan AM, Elzain WAD, et al. (2024). Prevalence of malignancy in thyroid nodules with AUS cytopathology: A retrospective cross-sectional study.. Journal of family medicine and primary care, 13(9), 3822-3828. https://doi.org/10.4103/jfmpc.jfmpc_249_24
MLA Alshalaan AM, et al.. "Prevalence of malignancy in thyroid nodules with AUS cytopathology: A retrospective cross-sectional study.." Journal of family medicine and primary care, vol. 13, no. 9, 2024, pp. 3822-3828.
PMID 39464912 ↗

Abstract

[BACKGROUND] Category III (AUS; Atypia of Undetermined Significance) of The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was established to describe thyroid nodule features that are neither benign nor cancerous.

[OBJECTIVES] This study aims to evaluate the rate of thyroid malignancy in patients diagnosed with AUS at the Armed Forces Hospital Southern Region (AFHSR), Saudi Arabia.

[METHOD] The patients (508) diagnosed with AUS in their thyroid nodules underwent fine-needle aspiration cytology (FNAC). Data were collected through a chart-based approach, reviewing patients' medical records and relevant information.

[RESULTS] Among the cases, the majority were females (84.6%). Among the different age groups, individuals between 40 and 50 years had the highest prevalence of thyroid nodules (32.5%). Approximately 27% of patients exhibited tumor sizes larger than 4 cm. FNAC results revealed 16.5% benign, 26% AUS, and 22.4% follicular neoplasm cases. Histopathology indicated 54.1% of benign and 37.2% of malignant cases. Papillary carcinoma accounts for 80.4% of all malignant cases. A significant correlation was observed between FNAC and postoperative histopathology ( value < 0.05). Hypoechoic nodules exhibited 33.9% of malignant cases, and calcification was observed in 25% of the cases. A significant association was found between malignancy and echogenicity and between malignancy and calcification ( value = 0.003 and 0.001, respectively).

[CONCLUSION] The findings of this study identify malignancy in thyroid nodules with AUS cytopathology, particularly in the Southern region of Saudi Arabia. The correlation between pre-surgery FNAC and postoperative histopathology supports FNAC's diagnostic value. Additionally, echogenicity and calcification can potentially contribute to predicting nodule malignancy.

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