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Department of Pathology, General University Hospital of Ciudad Real, Ciudad Real, Spain
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Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, Málaga, Spain
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The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA-BIONAND Platform), University of Malaga, Malaga, Spain
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The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA-BIONAND Platform), University of Malaga, Malaga, Spain
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Department of Pathology, Virgen de la Victoria University Hospital, Málaga, Spain
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Department of Pathology, Virgen de la Victoria University Hospital, Málaga, Spain
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Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, Málaga, Spain
The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA-BIONAND Platform), University of Malaga, Malaga, Spain
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, 6 , 7 , 8 , 9 ). A cytological diagnosis carries a certain risk of malignancy (ROM), which has implications for clinical recommendations. While FNA is an efficient and cost-effective diagnostic procedure, it is important to note that histological
Servizio di Endocrinologia e Diabetologia, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland
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University of Latvia, Faculty of Medicine, Riga, Latvia
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Facoltà di Scienze Biomediche, Università della Svizzera Italiana (USI), Lugano, Switzerland
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procedure ( 2 , 3 , 4 ). Despite the worldwide acceptance of US in evaluating the malignancy risk of TN, recent efforts aim to standardize the procedure to further improve its performance ( 5 ). In the past decade, prominent scientific societies have
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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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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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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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(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
Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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nodules has enhanced the need for endocrinologists to be able to define the risk of malignancy as accurately as possible ( 2 ). Ultrasound (US) is the first-line method to identify malignant thyroid nodules with the advantages of accessibility, cost
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Department of Medicine, Section of Endocrinology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Departments of Medicine, Oncology, Pathology and Laboratory Medicine, Biochemistry and Molecular Biology, and Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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TUS malignancy risk assessment should be performed ( 2 , 3 ). Currently, there are multiple guidelines for the malignancy risk stratification of thyroid nodules based on TUS features, which include: the 2015 American Thyroid Association (ATA
Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
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providing an effective tool to investigate factors that influence their occurrence. Given the high prevalence of TNs and the potential for malignancy, it is imperative to understand the various factors that contribute to their development. This knowledge can
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, ultrasound scores are used to determine which nodules should undergo FNAC and the Bethesda classification is used to assess management based on the risk of malignancy ( 7 , 8 ). Suspicious nodules with Bethesda III, Bethesda IV, and Bethesda V cytology