Incidencia de nódulos tiroideos según el sistema de clasificación TI-RADS y citología diagnosticados en pacientes del Hospital José Carrasco Arteaga, Cuenca. Mayo - octubre 2018

Abstract

Background: Thyroid nodules are a frequent finding in clinical practice, the incidence ranges from 6% with physical examination, 20-40% with ultrasound and 50% at autopsy. FNAP (puncture-aspiration with a fine needle) is the most useful method for the study of a thyroid nodule (1).

Objective: To determine the incidence of thyroid nodules according to the TI-RADS classification system and cytology diagnosed in patients of the Hospital José Carrasco Arteaga, during. May - October 2018

Methodology: A prospective descriptive study of 519 clinical histories of patients who underwent the thyroid ultrasound study with its TI-RADS classification and subsequent cytology was performed. We proceeded to the revision of clinical histories, the results were tabulated in the statistical program SPSS v-25 analyzed based on frequency, percentage and sonographic characteristics of the nodules, presented in tables.

Results: The incidence of thyroid nodule is more frequent in women (87.7%). It is frequent in patients aged 51-60 years (26.6%), of which 24.8% are women and 1.8% are men. The size of the nodules is more frequently between 10 - 29 mm (60.5%), being 53.5% corresponding to women and 7% to males. 53.2% present BETHESDA II (benignity) and 3.1% BETHESDA VI (malignancy). 61.2% of the benign nodules present regular borders, while 87.5% of the cases that are malignant have irregular borders. 40.5% of benign nodules present peripheral vascularity and 37.5% of malignant ones present diffuse vascularity.