Tiroid Kanseri Tanısında ACR-TIRADS Skorlama Sistemi ile Bethesda Sınıflama Sisteminin Birlikte Kullanımının Önemi

Year 2021, Volume: 74 Issue: 1, 134 - 138, 30.04.2021

Serhan Yılmaz , Hakan Bölükbaşı

https://doi.org/10.4274/atfm.galenos.2020.85856

Abstract

Objectives: We aimed to emphasize the importance of using the Bethesda system and ACR-TIRADS scores together in thyroid cancer (TC) cases. Materials and Methods:

Patients who underwent total thyroidectomy with a pre-diagnosis of multinodular goiter and TC were retrospectively analyzed. Demographic data such as patient age and gender and nodule size were recorded. The ACR-TIRADS scores of the patients were evaluated according to the preoperative Bethesda categories.

Results: A total of 241 patients were included. The mean age was 46.68±12.62 years and the female/male ratio was 205/36. The mean nodule size was 24.33±15.7 mm. Of the 6 patients in the Bethesda 1 category, 2 (33.3%) were reported as TR4 and 1 (16.7%) as TR5. Of the 46 patients inthe Bethesda 2 category, 13 (28.3%) were reported as TR4, and 2 (4.3%) as TR5. Of the 49 patients in the Bethesda 3-4 category, 17 (34.6%) were reported as TR4, and 1 (2.0%) as TR5. Of the 16 patients in the Bethesda 5 category, 11 (68.8%) were reported as TR4 and 1 (6.3%) as TR5. Sixty-one (49.2%) of 124 patients in Bethesda 6 category were reported as TR4 and 13 (10.5%) as TR5.

Conclusion: The main purpose of using the ACR-TIRADS reporting system is to determine the malignant potential of thyroid nodules and to help determine the treatment strategy in cases with benign biopsy results. The results of this study support the use of two methods to help in the diagnosis and treatment of thyroid nodules.

Keywords

Thyroid cancer , Bethesda , ACR-TIRADS

Supporting Institution

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Thanks

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Tiroid Kanseri Tanısında ACR-TIRADS Skorlama Sistemi ile Bethesda Sınıflama Sisteminin Birlikte Kullanımının Önemi

Abstract

Ethical Statement

Etik Kurul Onayı: Çalışma için Sağlık Bilimleri Üniversitesi İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu tarafından KAEK/2020.08.171 karar numarasıyla onay alınmıştır. Hasta Onayı: Çalışma geriye dönük analiz olduğundan dolayı bilgilendirilmiş onay alınmamıştır. Hakem Değerlendirmesi: Editörler kurulunun dışından olan kişiler tarafından değerlendirilmiştir. Yazarlık Katkıları Cerrahi ve Medikal Uygulama: S.Y., H.B., Konsept: S.Y., Dizayn: H.B., Veri Toplama veya İşleme: S.Y., Analiz veya Yorumlama: S.Y., Literatür Arama: S.Y., H.B., Yazan: S.Y., H.B. Çıkar Çatışması: Yazarlar tarafından çıkar çatışması bildirilmemiştir. Finansal Destek: Yazarlar tarafından finansal destek almadıkları bildirilmiştir.

Project Number

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