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Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
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observational studies, mostly retrospective, have been conducted to identify the US features associated with the risk of malignancy in pediatric thyroid nodules. In 2016, they have been summarized in a meta-analysis reporting that the presence of internal
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Santa Casa de São Paulo, São Paulo, Brazil
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(< 10 mm in diameter) [ 8 - 10 ]. Some sonographic features, such as hypoechogenicity, the presence of microcalcifications, irregular margins, and a taller than wide shape, are used to evaluate the risk of malignancy, but these findings alone cannot be
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age, only the risk of young patients under 30 years of age appears to be increased (ROM: 2.8%; see Table 3 ). Table 4 relates ROM to the presenting thyroid disorder. Table 2 Histological findings in patients with thyroid malignancies in
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14.3%. In the literature, the reported risk of malignancy ranges between 5 and 15% [ 1 , 3 , 4 , 20 ]. However, in contrast to our cohort, in previous studies using the same methodology, either only nodules above 10 mm were subjected to FNA (cancer
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with HT. Table 2. Thyroid autoimmunity and thyroid cancer: risk factors for malignancy identified in recent large retrospective FNAC studies In the first of these studies, Boi et al. [ 10 ] in 2005 retrospectively described a higher
Center of Genomic Medicine, Rigshospitalet, Copenhagen University, Copenhagen, Denmark
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habits) were listed prospectively. Sonographic features of the neck US were registered including detailing number and position of the nodule(s), size, shape, margins, content, and vascularity focusing on risk stratification for nodule malignancy
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largest diameter over 5 years: 4.9 mm (95% CI, 4.2–5.5 mm)) ( 106 ), changes in TIRADS category which qualify for further workup (rate of change over 5 years: 6.3–8.3%) ( 126 ), risk of overlooking malignancy over the next 5 years (rate: 0.6%) ( 106 ), we
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DM, Ramirez M, Lee TM, Irvin GL 3rd: Surgeon-performed ultrasound in the management of thyroid malignancy. Am Surg 2004;70:576-580. 15279178 48 do Rosario PW, Borges MA, Alves MF, Purisch S, Padrao EL, Rezende LL, Barroso AL: Follow-up of high-risk
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ratio threshold for TTW nodules might improve the specificity of risk stratification systems in ruling out malignancy and, in particular, in pinpointing nodules for which FNAC can safely be deferred. The study described below was undertaken to explore
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(US), the first-line tool to stratify malignancy risk of thyroid nodules, does not, unlike scintigraphy, evaluate the nodule’s functional characteristics. The utility to effectively diagnose AFTN relies on the generally admitted assumption that AFTN