Practice of thyroid nodule management in the Gulf Cooperation Council countries

Jammah, Anwar A.

doi:10.15537/smj.2021.1.25591

Cited by 3 publications

(4 citation statements)

References 25 publications

(36 reference statements)

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“…According to different studies, ENT physicians have a significant role in diagnosis and treatment of thyroid nodules [33][34][35] . Based on the type of the nodules and the severity of the symptoms, ENT physicians may recommend different options of treatments and in some cases ENT specialists may resort to surgery [36] .…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Practice of ENT Physicians Considering Thyroid Nodules During Pregnancy: A Cross-Sectional Study

Alsaeedi

Albusairi

Abdulrahim

et al. 2022

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Background: There is limited information considering the familiarity of ENT physicians toward thyroid nodules during pregnancy. Most surveys in this field were focused on the thyroid disorders and among other population. Therefore, the aim of this study was to evaluate the knowledge, attitude, and practice of ENT physicians toward thyroid nodules during pregnancy. Methodology: This is a cross-sectional study that was conducted among ENT physicians in Saudi Arabia in the period between July 2022 and September 2022. The study depended on self-reported questionnaire that was distributed using Google sheets via E- mail through the Saudi Commission for Health Specialties. The questionnaire was prepared by the researchers depending on the previous literature review. The questionnaire consisted of four sections of 24 questions considering demographic factors, knowledge, attitudes, and practices toward thyroid nodules. Results: In this study, we were able to collect data from 385 ENT physicians. Among the participants, 60.3 % of them were at 26-35 years group and 69.6 % were males. Moreover, 75.1 % of the participants were residents, 16.6 % were consultant and 8.3 % were registrars. 43.6 % of the ENT physicians had adequate knowledge considering thyroid nodules in pregnancy while 22.3 % of the participants had positive attitude toward thyroid nodules during pregnancy and 47.0 % of the ENT physicians in this study had proactive practice toward thyroid nodules in pregnancy. Age, higher scientific degree and occupation are factors that had significant on the physicians’ knowledge, attitude, and practice. Conclusion: Knowledge, attitude, and practices of ENT physicians toward thyroid nodules during pregnancy is not adequate. Needs for increasing the awareness of the ENT physicians throughout courses and campaigns is necessary.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Practice of ENT Physicians Considering Thyroid Nodules During Pregnancy: A Cross-Sectional Study

Alsaeedi

Albusairi

Abdulrahim

et al. 2022

ijirms

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“…As the FNAB is the gold standard for evaluation of thyroid nodules in high resource settings, this method of diagnosis has also gained popularity in LMICs. [36][37][38] As a significant proportion of thyroid nodules represent benign thyroid nodules, FNAB has proved useful in LMICs, particularly in settings where goiter is more common. In one study from Kenya, benign thyroid nodules were accurately distinguished from malignant nodules, while the FNAB was best performed by cytopathologists.…”

Section: Fnab In Thyroid Nodulesmentioning

confidence: 99%

“…As the FNAB is the gold standard for evaluation of thyroid nodules in high resource settings, this method of diagnosis has also gained popularity in LMICs 36–38 . As a significant proportion of thyroid nodules represent benign thyroid nodules, FNAB has proved useful in LMICs, particularly in settings where goiter is more common.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the FNAB can provide material for ancillary testing of thyroid lesions. For example, a survey of countries in the Gulf Cooperation Council highlighted that only less than 10% of indeterminate nodules were being sent for molecular testing, however interest for molecular testing for indeterminate thyroid FNAs to supplement diagnosis was much higher 36 …”

Section: Introductionmentioning

confidence: 99%

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Fine needle aspiration biopsy in low‐ and middle‐income countries

Khorsandi,

Balassanian,

Vohra

2024

Diagnostic Cytopathology

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Fine needle aspiration biopsy (FNAB) in low‐ and middle‐income countries (LMIC), can provide minimally invasive, cost‐effective tissue diagnosis with rapid assessment and specimen triage, which is advantageous in these resource‐limited settings. Nevertheless, challenges such as equipment shortages, reagents, and lack of trained personnel exist. This article discusses the effectiveness of FNAB for diagnosis of malignant and inflammatory conditions across various organs, such as lymph nodes, breast, soft tissue, and thyroid and advocates for increased training opportunities and collaboration with academic centers to enhance diagnostic accuracy and access to pathology services.

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Ultrasonographic predictors of thyroid cancer in Bethesda III and IV thyroid nodules

Alyusuf,

Alhmayin,

Albasri

et al. 2024

Front. Endocrinol.

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BackgroundBethesda III and IV thyroid nodules continue to be difficult to manage. Although molecular testing may assist in decision-making, it is expensive, not widely available, and not without pitfalls. The objective of this study is to assess whether certain thyroid ultrasonographic features may predict the risk of thyroid cancer in patients with Bethesda III and IV thyroid nodules and be used as additional decision-making tools to complement cytopathological results in deciding on diagnostic thyroidectomy.MethodsWe retrospectively evaluated the ultrasonographic features of Bethesda categories III and IV thyroid nodules in patients who underwent subsequent thyroidectomy. We used the final histopathological examination of the surgical specimens as the gold-standard test and analyzed individual preoperative ultrasonographic features as predictors of malignancy.ResultsOf the 278 patients who were diagnosed with Bethesda III and IV thyroid nodules on fine needle aspiration cytology (FNAC), 111 (39.9%) had thyroid cancer, and 167 (59.9%) exhibited benign nodules. The malignancy rate was higher in patients with Bethesda IV nodules (28/50, 56%) than those with Bethesda III nodules (83/228, 36.4%; p=0.016). In univariate analysis, hypoechogenicity (55.6% in malignant vs. 35.3% in benign, p=0.006) and calcifications (54.5 in malignant vs. 35.4% in benign, p=0.008) were significantly different between the benign and malignant pathology groups, whereas the size of the dominant nodule, number of nodules, irregular borders, taller-than-wide shape, and the presence of lymph nodes were comparable between the two groups. These two ultrasonographic features (hypoechogenicity and calcifications) remained significantly associated with the risk of malignancy in multivariate logistic regression analysis (for hypoechogenicity, p=0.014, odds ratio: 2.1, 95% CI:1.0–3.7 and for calcifications, p=0.019, odds ratio: 1.98, 95% CI:1.12–3.50). The sensitivity, specificity, positive and negative predictive values, and accuracy were 31.5%, 83%, 55.6%,64.7%, and 62.6%, for hypoechogenicity, respectively and 32.4%, 82%, 54.5%, 67.8%, and 62%, for calcification, respectively.ConclusionsHypoechogenicity and calcifications in Bethesda III and IV thyroid nodules are strong predictors of thyroid cancer and associated with a two-fold increased risk of malignancy.

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Practice of thyroid nodule management in the Gulf Cooperation Council countries

Cited by 3 publications

References 25 publications

Knowledge, Attitude and Practice of ENT Physicians Considering Thyroid Nodules During Pregnancy: A Cross-Sectional Study

Knowledge, Attitude and Practice of ENT Physicians Considering Thyroid Nodules During Pregnancy: A Cross-Sectional Study

Fine needle aspiration biopsy in low‐ and middle‐income countries

Ultrasonographic predictors of thyroid cancer in Bethesda III and IV thyroid nodules

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