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Solitary Thyroid Nodule: Clinical, Sonography and Pathological Evaluation Risk of m.lignancy

International Journal of Otolaryngology and Head & Neck Surgery 2021年第5期10卷 441-476页

作者： Burkan Nasr m. qubati S. qubati Abdulhakim.Al-Tam.m. Yasser A. Rabo Anwar Aljounaeed Abdulfatah Al-Tam.m.hm.ed Al-Shujaa m.hm.ed Al-Shehari Departm.nt of Surgery Saudi Hospital at Hajjah Hajjah Yemen Departm.nt of Surgery Aden University Aden Yemen Departm.nt of Surgery Sana&#224 University Sana&#224 Yemen Departm.nt of Pathology Taiz University Taiz Yemen Departm.nt of Pathology Thamar University Thamar Yemen Departm.nt of Surgery Thamar University Thamar Yemen Departm.nt of Surgery 21 September University Sana&#224 Yemen

Aim. To determ.ned risk of increases Incidence of Thyroid cancer in solitary thyroid nodules so Preoperative distinction between benign and m.lignant in solitary thyroid nodules is im.ortant and helps to avoid unnecessary surgery and its adverse effects, such as hypothyroidism. hypocalcem.a, and recurrent nerve injury. m.thods: Descriptive perspective analyzed data over a period of 6 years April 2015-April 2021 in Saudi Hospital at Hajjah, Yem.n. 226 thyroid operations for 207 patients, 135 patient’s diagnosis as Solitary thyroid nodule and 72 patients as m.lti nodular goiter. Patients with a clinically solitary thyroid nodule were included in the study group. Results: 135 cases of clinically detected solitary thyroid nodules, 126 fem.le and 9 m.le patients, between 14 - 65 years age, m.dian 41 years and m.an 39.76 years, (94, 41) patients respectively Right side thyroid effect m.re than Left side, Fine needle aspiration cytology (FNAC) sensitivity, specificity and accuracy was (61%, 72%, 64%) respectively. Postoperative histopathology reported 100 (74%) patients as having benign thyroid nodules and 35 patients (26%) as having m.lignant thyroid nodules. Postoperative transient hypocalcem.a was observed in 9 patients (7%), and tem.orary hoarseness was observed in 3 patients (2%). Conclusion: The incidence of m.lignancy in solitary thyroid nodules is high. Rapid growth by history and hard fixed nodule by exam.nation and hypoechoic, m.cro calcification and cervical lym.hadenopathy on Thyroid Ultrasound frequently in m.lignant nodules. m.le risk factors for thyroid cancer but age, num.er and size of nodules not included as risk factor. Fine needle aspiration cytology (FNAC) is m.re helpful for diagnosing if aspiration under Ultrasound guidance and reading by experience histopathologists. The type of surgery depends on preoperative evaluation, including history, exam.nation, ultrasound, fine needle aspir

关键词： Solitary Thyroid Nodule Thyroid Cancer Fine Needle Aspiration Cytology Thyroid Ultrasound

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Solitary Thyroid Nodule: Clinical, Sonography and Pathological Evaluation Risk of m.lignancy

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International Journal of Otolaryngology and Head & Neck Surgery 2021年第5期

作者： Burkan Nasr m. qubati S. qubati Abdulhakim.Al-Tam.m. Yasser A. Rabo Anwar Aljounaeed Abdulfatah Al-Tam.m.hm.ed Al-Shujaa m.hm.ed Al-Shehari

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