The Relationship between 3 Dimensional Measurement Ratios of Solid Thyroid Nodules and Thyroid Papillary Carsinoma: A Retrospective Cohort Study/ Solid tiroid Nodullerinin 3 Boyutlu Olcum Oranlari ile Tiroid Papiller Karsinomunun Iliskisi: Retrospektif Kohort Calismasi

• Published in: Southern Clinics of Istanbul Eurasia (SCIE) Vol. 34; no. 4; p. 354
• Main Authors: Havan, Nuri, Ozgokce, Mesut, Celik, Ramazan, Ozdamarlar, Umut, Ozkacmaz, Sercan, Durmaz, Fatma, Akinci, Muhammed Bilal
• Format: Journal Article
• Language: Turkish
• Published: KARE Publishing 01.12.2023
• Subjects: Care and treatment; Diagnosis; Diagnosis, Ultrasonic; Methods; Physiological aspects; Thyroid cancer; Turkey
• ISSN: 2587-0998
• DOI: 10.14744/scie.2023.04207

Objective: We aimed to investigate whether the ratios of craniocaudal (CC), anteroposterior (AP), and mediolateral (ML) measurements to each other are useful in diagnosing thyroid papillary carcinoma by ultrasound. Methods: The patients who have a solid thyroid nodule on ultrasonography which were diagnosed by a histopathological examination after a trucut fine needle biopsy were included in this study. Proportions of all three dimensions to one another were recorded. Results: A total of 173 patients with a mean age of 44.49 [+ or -]14.54 years were included. Of the patients included in the study, 137 (79.19%) were female and 38 (20.81%) were male. AP/ML ratio (p=0.016) and CC/ML ratio showed a significant difference between thyroid papillary carcinoma group and benign nodule groups. Furthermore, a cut-off value of 0.7 AP/ML ratio showed sensitivity and specificity of 0.667 and 0.45, respectively. Conclusion: AP/ML ratio shows association with increased thyroid papillary carcinoma risk. CC/ML is also associated with increased risk. These rates may also contribute to clinical practice as a diagnostic tool. Keywords: Papillary thyroid carcinoma; proportion; three dimensional imagings; thyroid nodule; ultrasound. Amac: Ultrason ile kraniokaudal, anteroposterior ve mediolateral olcumlerin birbirine oranlarinin, tiroid papiller karsinomu tanisinda yararli olup olmadigini arastirmayi amacladik. Gerec ve Yontem: Bu calismaya, tru-cut ince igne biyopsisi sonrasi histopatolojik inceleme ile tani konulan, ultrasonografide solid tiroid nodulu saptanan hastalar alindi. Her uc boyutun da birbirine oranlari kaydedilerek degerlendirildi. Bulgular: Yas ortalamasi 44.49 [+ or -]14.54 olan toplam 173 hasta calismaya dahil edildi. Calismaya alinan hastalarin 137'si (%79.19) kadin, 38'i (%20.81) erkekti. Anteroposterior-mediolateral oran (p=0.016) ve kraniokaudal- mediolateral oran tiroid papiller karsinom grubu ile benign nodul gruplari arasinda anlamli fark gosterdi. Ayrica 0.7 AP/ML orani kestirim degeri, sirasiyla 0.667 ve 0.45 duyarlilik ve ozgulluk gosterdi. Sonuc: AP/ML orani, artmis tiroid papiller karsinom riski ile iliski gostermektedir. CC/ML ayrica artmis risk ile iliskilidir. Bu oranlar da tanisal birer arac olarak klinik pratige katki sunabilir. Anahtar Sozcukler: Papiller tiroid karsinomu, tiroid nodulu, ultrason, uc boyutlu goruntuleme.