Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study
Objective: This study aimed to compare ultrasonography (US) features and the Korean-Thyroid Imaging Reporting and Data System (K-TIRADS) categories for diagnosing isthmic and lobar papillary thyroid carcinomas (PTC).Methods: From January 2009 to December 2012, 163 patients who underwent thyroid surg...
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Frontiers Media S.A.
2020-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fendo.2020.00328/full |
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| author | Yoo Jin Lee Dong Wook Kim Gi Won Shin Jin Young Park Hye Jung Choo Ha Kyoung Park Tae Kwun Ha Do Hun Kim Soo Jin Jung Ji Sun Park Sung Ho Moon Ki Jung Ahn Hye Jin Baek |
| author_facet | Yoo Jin Lee Dong Wook Kim Gi Won Shin Jin Young Park Hye Jung Choo Ha Kyoung Park Tae Kwun Ha Do Hun Kim Soo Jin Jung Ji Sun Park Sung Ho Moon Ki Jung Ahn Hye Jin Baek |
| author_sort | Yoo Jin Lee |
| collection | DOAJ |
| description | Objective: This study aimed to compare ultrasonography (US) features and the Korean-Thyroid Imaging Reporting and Data System (K-TIRADS) categories for diagnosing isthmic and lobar papillary thyroid carcinomas (PTC).Methods: From January 2009 to December 2012, 163 patients who underwent thyroid surgery and were confirmed with a post-operative histopathological diagnosis of isthmic PTC were retrospectively included. Fifty-nine patients were excluded because their tumor size was <0.5 cm or because of other reasons. The control group comprised of 145 patients who underwent thyroid surgery from January to April 2013 for a classic type of PTC, with the largest diameter being ≥ 0.5 cm and located in the thyroid lobe. A single radiologist retrospectively reviewed the US features and K-TIRADS categories of each nodule using a picture archiving and communication system.Results: Among 104 patients with isthmic PTC, 95 and 9 had primary and secondary cancers, respectively. On the other hand, all 145 patients with lobar PTC had primary cancers. Isthmic PTC showed a lower prevalence of non-parallel orientation than lobar PTC (23.1 and 71%). Nodule orientation was the only US feature statistically different between the two groups (p < 0.0001). However, there was no significant difference in patient age, sex, nodule size, composition, echogenicity, microcalcification, spiculated/microlobulated margin, and K-TIRADS category between the two groups (p > 0.05).Conclusions: K-TIRADS may be useful in the diagnosis of both isthmic and lobar PTC. |
| first_indexed | 2024-12-18T10:57:41Z |
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| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-18T10:57:41Z |
| publishDate | 2020-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Endocrinology |
| spelling | doaj.art-0706330815c1494a9c2c9ec446c2a44a2022-12-21T21:10:17ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922020-06-011110.3389/fendo.2020.00328528840Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center StudyYoo Jin Lee0Dong Wook Kim1Gi Won Shin2Jin Young Park3Hye Jung Choo4Ha Kyoung Park5Tae Kwun Ha6Do Hun Kim7Soo Jin Jung8Ji Sun Park9Sung Ho Moon10Ki Jung Ahn11Hye Jin Baek12Department of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of General Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of General Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Pathology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Nuclear Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Anesthesiology and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Radiation Oncology, Busan Paik Hospital, Inje University College of Medicine, Busan, South KoreaDepartment of Radiology, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, South KoreaObjective: This study aimed to compare ultrasonography (US) features and the Korean-Thyroid Imaging Reporting and Data System (K-TIRADS) categories for diagnosing isthmic and lobar papillary thyroid carcinomas (PTC).Methods: From January 2009 to December 2012, 163 patients who underwent thyroid surgery and were confirmed with a post-operative histopathological diagnosis of isthmic PTC were retrospectively included. Fifty-nine patients were excluded because their tumor size was <0.5 cm or because of other reasons. The control group comprised of 145 patients who underwent thyroid surgery from January to April 2013 for a classic type of PTC, with the largest diameter being ≥ 0.5 cm and located in the thyroid lobe. A single radiologist retrospectively reviewed the US features and K-TIRADS categories of each nodule using a picture archiving and communication system.Results: Among 104 patients with isthmic PTC, 95 and 9 had primary and secondary cancers, respectively. On the other hand, all 145 patients with lobar PTC had primary cancers. Isthmic PTC showed a lower prevalence of non-parallel orientation than lobar PTC (23.1 and 71%). Nodule orientation was the only US feature statistically different between the two groups (p < 0.0001). However, there was no significant difference in patient age, sex, nodule size, composition, echogenicity, microcalcification, spiculated/microlobulated margin, and K-TIRADS category between the two groups (p > 0.05).Conclusions: K-TIRADS may be useful in the diagnosis of both isthmic and lobar PTC.https://www.frontiersin.org/article/10.3389/fendo.2020.00328/fullthyroidpapillary thyroid carcinomaisthmicultrasonographyK-TIRADS |
| spellingShingle | Yoo Jin Lee Dong Wook Kim Gi Won Shin Jin Young Park Hye Jung Choo Ha Kyoung Park Tae Kwun Ha Do Hun Kim Soo Jin Jung Ji Sun Park Sung Ho Moon Ki Jung Ahn Hye Jin Baek Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study Frontiers in Endocrinology thyroid papillary thyroid carcinoma isthmic ultrasonography K-TIRADS |
| title | Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study |
| title_full | Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study |
| title_fullStr | Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study |
| title_full_unstemmed | Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study |
| title_short | Comparison of Ultrasonography Features and K-TIRADS for Isthmic and Lobar Papillary Thyroid Carcinomas: A Single-Center Study |
| title_sort | comparison of ultrasonography features and k tirads for isthmic and lobar papillary thyroid carcinomas a single center study |
| topic | thyroid papillary thyroid carcinoma isthmic ultrasonography K-TIRADS |
| url | https://www.frontiersin.org/article/10.3389/fendo.2020.00328/full |
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