Thyroid cancer detection rate and associated risk factors in patients with thyroid nodules classified as Bethesda category III
, , , , , , and | Sep 27, 2018
About this article
Article Category: Research Article
Published Online: Sep 27, 2018
Page range: 370 - 376
Received: Jun 19, 2018
Accepted: Aug 23, 2018
DOI: https://doi.org/10.2478/raon-2018-0039
© 2018 Magdalena Mileva, Bojana Stoilovska, Anamarija Jovanovska, Ana Ugrinska, Gordana Petrushevska, Slavica Kostadinova-Kunovska, Daniela Miladinova, Venjamin Majstorov published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Figure 1
Comparison of clinical data of benign and malignant thyroid nodules in 105 patients with Bethesda III cytology report
| Variables | Final outcome | p-value | |
|---|---|---|---|
| Benign (n = 71) | Malignant (n = 34) | ||
| 54.9 ± 11.7 mean ± standard deviation; n = number of patients; OR = odds ratio; ns = non significant. | 48 ± 14.2 mean ± standard deviation; n = number of patients; OR = odds ratio; ns = non significant. | < 0.01 (0.005) | |
| (25–77) | (24–71) | OR 0.953 (95% CI 0.922–0.986) | |
| ns (0,506) | |||
| Male | 14 (19.7%) | 4 (11.7%) | |
| Female | 57 (80.3%) | 30 (88.3%) | |
| 24.6 ± 9.1 mean ± standard deviation; n = number of patients; OR = odds ratio; ns = non significant. | 20.7 ± 9.8 mean ± standard deviation; n = number of patients; OR = odds ratio; ns = non significant. | < 0.05 (0.048) | |
| (10–60) | (8–47) | OR 0.952 (95% CI 0.907-1.00) | |
| ns (0.117) | |||
| Hypofunctioning (Cold) | 10 (23.8%) | 9 (50.0%) | |
| Isofunctioning | 25 (59.5%) | 9 (50.0%) | |
| Hyperfunctioning (Hot) | 7 (16.7%) | 0 (0.0%) | |
Clinical data of patients and US features of Bethesda category III nodules
| Variables | ||
|---|---|---|
| 105 | ||
| 52,9 ± 12,7 Mean ± standard deviation | (24–77) | |
| Male | 18 | 17.10% |
| Female | 87 | 82.90% |
| 23,4 ± 9,4 Mean ± standard deviation | (8–60) | |
| Solid | 83 | 74.1% |
| Mixed | 25 | 22.3% |
| Cystic | 4 | 3.6% |
| Anechoic | 3 | 2.7% |
| Hypoechoic | 56 | 50.0% |
| Isoechoic | 47 | 42.0% |
| Hyperechoic | 6 | 5.4% |
| No calcifications | 88 | 78.6% |
| Microcalcifications | 17 | 15.2% |
| Macrocalcifications | 7 | 6.3% |
| No vascularisation | 20 | 1.,9% |
| Low | 18 | 16.1% |
| Peripheral | 16 | 14.3% |
| Central | 58 | 51.8% |
| No scan | 52 | 46.4% |
| Hypofunctioning (Cold) | 19 | 17.0% |
| Isofunctioning | 34 | 30.3% |
| Hyperfunctioning (Hot) | 7 | 6.3% |
Comparison of US features of benign and malignant thyroid nodules with Bethesda III cytology report
| Variables | Final outcome | p-value | |
|---|---|---|---|
| Benign n = 77 (68.8%) | Malignant n = 35 (31.2%) | ||
| ns (0.372) | |||
| Solid | 54 (70.1%) | 29 (82.9%) | |
| Mixed | 20 (26.0%) | 5 (14.3%) | |
| Cystic | 3 (3.9%) | 1 (2.9%) | |
| Anechoic | 3 (3.9%) | 0 (0.0%) | ns (0.999) |
| Hypoechoic | 31 (40.3%) | 25 (71.4%) | < 0.01 (0.003) OR 3.710 (95% CI 1.565–8.795) |
| Isoechoic | 38 (49.4%) | 9 (25.7%) | < 0.05 (0.021) OR 0.355 (95% CI 0.147–0.856) |
| Hyperechoic | 5 (6.5%) | 1 (2.9%) | ns (0.216) |
| No calcifications | 68 (88.3%) | 20 (57.1%) | < 0.01 (0.000) OR 0.176 (95% CI 0.067–0.463) |
| Microcalcifications | 8 (10.4%) | 9 (25.7%) | < 0.05 (0.042) OR 2.986 (95% CI 1.041–8.564) |
| Macrocalcifications | 1 (1.3%) | 6 (17.1%) | < 0.05 (0.012) OR 15.724 (95% CI 1.814–136.318) |
| No vascularisation | 10 (13.0%) | 10 (28.6%) | ns (0.051) |
| Peripheral | 15 (19.5%) | 1 (2.9%) | < 0.05 (0.046) OR 0.122 (95% CI 015–0.961) |
| Central | 41 (53.2%) | 17 (48.6%) | ns (0.646) |
| Low | 11 (14.3%) | 7 (20%) | ns (0.447) |