Benign and Malignant Thyroid Incidentalomas Are Rare in Routine Clinical Practice: A Review of 97,908 Imaging Studies
| العنوان: | Benign and Malignant Thyroid Incidentalomas Are Rare in Routine Clinical Practice: A Review of 97,908 Imaging Studies |
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| المؤلفون: | Sapna Nagar, Raymon H. Grogan, Paul J. Chang, Peter Angelos, Briseis Aschebrook-Kilfoy, Edwin L. Kaplan, Michael G. White, Abhineet Uppal |
| المصدر: | Cancer Epidemiology, Biomarkers & Prevention. 24:1327-1331 |
| بيانات النشر: | American Association for Cancer Research (AACR), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, Male, Thyroid nodules, medicine.medical_specialty, Epidemiology, Biopsy, Fine-Needle, Article, Tertiary Care Centers, Biopsy, Prevalence, medicine, Humans, Thyroid Neoplasms, Thyroid Nodule, Thyroid cancer, Aged, Retrospective Studies, Ultrasonography, Chicago, Incidental Findings, medicine.diagnostic_test, business.industry, Thyroid, Nodule (medicine), Magnetic resonance imaging, Retrospective cohort study, Middle Aged, medicine.disease, Magnetic Resonance Imaging, medicine.anatomical_structure, Oncology, Positron emission tomography, Positron-Emission Tomography, Female, Radiology, medicine.symptom, Tomography, X-Ray Computed, business, Nuclear medicine |
| الوصف: | Purpose: Thyroid nodules incidentally identified on imaging are thought to contribute to the increasing incidence of thyroid cancer. We aim to determine the true rate of incidental thyroid nodule reporting, malignancy rates of these nodules, and to compare these findings with rates of detection by dedicated radiology review. Methods: A cross-sectional analysis was done to determine the prevalence of thyroid nodules in radiologist reports by analyzing all reports for CT, PET, and MRI scans of the head, neck, and chest as well as neck ultrasounds performed at a tertiary care center from 2007 to 2012. Retrospective chart review was performed on patients with a reported thyroid nodule to determine clinical outcomes of these nodules. Radiology reports were compared with dedicated radiology review of 500 randomly selected CT scans from the study group to determine the difference between clinical reporting and actual prevalence of thyroid nodules. Results: 97,908 imaging studies met inclusion criteria, and 387 (0.4%) thyroid incidentalomas were identified on radiology report. One hundred and sixty three (42.1%) of these nodules were worked up with fine-needle aspiration, diagnosing 27 thyroid cancers (0.03% of all studies, 7.0% of reported incidentalomas). The prevalence of incidentalomas clinically reported was 142/100,000 CT scans, 638/100,000 MRIs, 358/100,000 PET scans, and 6,594/100,000 ultrasounds. In contrast, review of CT scans screening for thyroid nodules had a prevalence of 10%. Conclusion: Routine clinical reporting of incidental thyroid nodules is far less common than on dedicated review. Impact: These data contradict the notion that incidentalomas contribute significantly to rising thyroid cancer rates. Cancer Epidemiol Biomarkers Prev; 24(9); 1327–31. ©2015 AACR. |
| تدمد: | 1538-7755 1055-9965 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2dc5d9801863e53146dd0b6072371768Test https://doi.org/10.1158/1055-9965.epi-15-0292Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2dc5d9801863e53146dd0b6072371768 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15387755 10559965 |
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