Clinical, pathological and imaging correlation of thyroid nodules (Period 2015-2021)

Abstract

The thyroid nodule has been identified in most cases as benign, however, an underlying neoplastic process must be ruled out. Due to the fact that it may be an asymptomatic lesion, techniques have been developed that seek diagnostic efficiency, minimizing invasive studies, detecting the risk of neoplasia. Objective: To describe the clinical, pathological and imaging correlation of thyroid nodules in patients treated at the Centro Médico Docente La Trinidad between 2015 and 2021. Methodology:Observational, descriptive, retrospective study. The population was made up of patients treated at the La Trinidad Medical Teaching Center, the sample was made up of patients with thyroid nodules in the period January 2015 - January 2021. Results: Of 86 patients, the rate age was 48 years, of these patients 80.2% were female, the clinical diagnosis determined that 80.2% had a thyroid nodule and 19.7% had multinodular goiter. The anatomopathological study that was most applied was biopsy in 64% of the sample, 27.9% by fine needle plus biopsy, and 8.1% by fine needle. The imaging data of the patients shows that 30.2% correspond to the TI-RADS 3 scale, and less frequent TI-RADS 5. Conclusions: It was observed that most of the patients were female, average age 48 years; biopsy proves to be more accepted for evaluating thyroid nodules, and the TI-RADS classification based on a scoring scale according to the number of ultrasound criteria suspected of malignancy defined is useful, it can be applied in daily practice, however, it is operator dependent.