Thyroid follicular neoplasms: Can sonography distinguish between adenomas and carcinomas?

Suk Seo Hyung, Hoon Lee Dong, Hye Park Sung, Sook Min Hye, Dong Gyu Na

    Research output: Contribution to journalArticlepeer-review

    37 Citations (Scopus)

    Abstract

    Purpose. The purpose of this study was to determine whether sonography (US) can usefully differentiate thyroid follicular adenoma (FA) and follicular carcinoma (FC). Methods. This retrospective study included 60 pathologically proven FAs and 66 FCs in 123 consecutive patients (17 males and 106 females) with a mean age of 47 ± 13 years, (17-73 years) who underwent thyroid surgery. We analyzed US features of each nodule, including maximum diameter, echogenicity, composition, presence of calcification, margins, and presence of halo. The frequencies of each US feature were compared by using the χ2 test or Fisher's exact test between FAs and FCs. The relative risk of malignancy was evaluated by logistic regression analysis. Results. Isohypoechoic echogenicity, predominantly solid or mixed echotexture, and presence of microcalcifications or rim calcifications were associated with FC (p < 0.05). Logistic regression analysis demonstrated that predominantly solid or mixed echotexture and microcalcifications or rim calcifications were associated with significant increases in relative risk for FC (odds ratio 8.1 and odds ratio 13.5, respectively, p < 0.01). Conclusions. The US features of isohypoechoic echogenicity, predominantly solid or mixed echotexture, and microcalcifications or rim calcifications are more common in FC than in FA.

    Original languageEnglish
    Pages (from-to)493-500
    Number of pages8
    JournalJournal of Clinical Ultrasound
    Volume37
    Issue number9
    DOIs
    Publication statusPublished - 2009 Nov

    Keywords

    • Follicular adenoma
    • Follicular carcinoma
    • Thyroid
    • Ultrasonography

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

    Fingerprint

    Dive into the research topics of 'Thyroid follicular neoplasms: Can sonography distinguish between adenomas and carcinomas?'. Together they form a unique fingerprint.

    Cite this