Autoimmune Thyroiditis: Radiologist's point of view

Rosairo, Shanthini

doi:10.4038/sljr.v2i1.27

Cited by 1 publication

(2 citation statements)

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“…In a study performed at a tertiary hospital in Sri Lanka, it was shown that the sensitivity of ultrasonography in diagnosing thyroiditis was 89.47% while the specificity was 96.3%. Its positive predictive value was 94.4% (24). Features Table 14.…”

Section: Need For a Guideline To Assess Patients With Chronic Auto Immune Thyroiditismentioning

confidence: 99%

“…Three patients who had FNAC evidence of considered to suggest malignancy in a thyroid nodule are hypoechogenicity, solid consistency, greater nodular height than width, presence of micro calcifications, absence of peripheral halos or presence of an interrupted halo, presence of intranodular vascularity and presence of peripheral vascularity. It has also been shown that combination of these ultrasonographic characteristics will improve the diagnostic accuracy of identifying malignant nodules in thyroid (24).…”

Section: Need For a Guideline To Assess Patients With Chronic Auto Immune Thyroiditismentioning

confidence: 99%

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Chronic autoimmune thyroiditis: a challenging clinical entity in surgical practice

Rajendra¹

2019

Sri Lanka j Surg

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IntroductionChronic autoimmune thyroiditis is frequently encountered in surgical practice. However clinical data on chronic autoimmune thyroiditis has limited publications arising from Sri Lanka. This study presents our experience of this clinical entity which has differing thyroid morphologies and thyroid functional status at presentation. ObjectiveThe objective of this study was to analyse the spectrum of clinical profiles in patients with chronic auto immune thyroiditis attending at a surgical clinic. The clinical profiles analysed were the age and gender distribution, clinical presentation, thyroid functional status, thyroid peroxidase antibody (TPO Ab) status, Fine Needle Aspiration Cytology (FNAC) findings, Ultrasonographic (USS) assessment and association of thyroid malignancies. Formulation of a diagnostic guideline was also considered. Study designThis is an observational study using the clinical profiles of patients with thyroid diseases registered in the surgical clinic from January 2009 to December 2018. Patients diagnosed to have chronic auto immune thyroiditis were included in this study. Different clinical profiles of these patients were analyzed. ResultsOut of 226 patients with thyroid diseases registered to the surgical clinic over a decade, 89 (39.4%) had chronic auto immune thyroiditis confirmed by either TPO Ab or FNAC or by both. Thyroid morphology and thyroid functional states of patients with chronic auto immune thyroiditis at presentation varied widely; 57.3%, 27% and 15.7% had diffuse goitre, multinodular goitre and solitary nodule respectively and 66.3%, 28.1% and 5.6% were hypothyroid, euthyroid and hyperthyroid state respectively. An USS of thyroid gland performed on 83 patients revealed sonographic features suggestive of thyroiditis in 67 patients (75.2%). The association between USS detected chronic autoimmune thyroiditis and the presence of hypothyroid state at presentation was statistically significant (p= 0.027). Associated thyroid malignancies were detected in thyroidectomy specimens of 6 patients; 5 were papillary and one was follicular carcinoma. ConclusionThe thyroid morphology and functional status are not unique in patients with chronic autoimmune thyroiditis. There is a risk of having associated thyroid malignancy. USS evaluation of patients could be included in the guideline for diagnosis to mitigate the challenges faced in the surgical management of chronic autoimmune thyroiditis.

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Section: Need For a Guideline To Assess Patients With Chronic Auto Immune Thyroiditismentioning

confidence: 99%

Section: Need For a Guideline To Assess Patients With Chronic Auto Immune Thyroiditismentioning

confidence: 99%

Chronic autoimmune thyroiditis: a challenging clinical entity in surgical practice

Rajendra¹

2019

Sri Lanka j Surg

View full text Add to dashboard Cite

show abstract

Autoimmune Thyroiditis: Radiologist's point of view

Cited by 1 publication

References 12 publications

Chronic autoimmune thyroiditis: a challenging clinical entity in surgical practice

Chronic autoimmune thyroiditis: a challenging clinical entity in surgical practice

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