Research of the value of ultrasonic imaging in combination with McGill thyroid nodules score (MTNS) in differential diagnosis of thyroid benign and malignant nodules
10.3969/J.ISSN.1672-8270.2017.03.019
- VernacularTitle:超声成像联合McGill甲状腺结节评分对甲状腺良恶性结节鉴别诊断价值研究
- Author:
Xinyan LI
;
Yuexiu GAI
- Keywords:
McGill thyroid nodules score;
Thyroid carcinoma;
Ultrasound imaging;
Benign nodule;
Nodule size;
Differential diagnosis
- From:
China Medical Equipment
2017;14(3):70-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the clinical value of ultrasonic imaging in combination with McGill thyroid nodules score (MTNS) system in differential diagnosis of nodule size and benign and malignant tumors.Methods: The clinical data of a total of 112 patients with thyroid nodules were analyzed retrospectively. The nidus of the patients was identified by ultrasound-guided fine needle aspiration biopsy, and then the MTNS, nodule size and false negative rate of the patients were calculated, respectively.Results: The MTNS of the 112 cases of patients with thyroid nodules was within the range of 1 to 18, with an average score of (6.83±2.31). 16 cases with malignant nodules(the percent was 14.29%) were finally diagnosed by pathology, and 96 cases were diagnosed with benign nodules(the percent was 85.71%). The MTNS of patients with malignant nodules was significantly higher than that of those with benign nodules. Ultrasonic imaging showed that the nodule diameter was within the range of 1 to 8.9cm, with an average diameter of (4.13±4.13)cm. MTNS was positively correlation with nodule diameter (r=0.146,P<0.05). Besides, the average diameter of benign nodules was (3.67±1.60)cm, and that of malignant nodules was (4.23±1.51)cm. The missed diagnosed malignant nodules mainly were large diameter nodules.Conclusion: Ultrasound imaging in combination with MTNS can better predict the benign or malignant risk of thyroid nodules.
