Özet:

Purpose: This study was aimed at investigating the ultrasound findings in the benign and malign thyroid nodes. Instruments and Methods: between June 2008 and June 2009 in the Rize Education and Research Hospital’s Department of Radiology was performed with ultrasound accompanying and the results were sufficient in a total of 71 (14 men, 57 women; average age: 47±12) with the results of thyroid ultrasound compared with the results of thyroid aspiration biopsy. In ultrasonography, the number of nodes, the ecogenity (hypoecological, isoecological, hyperecological, mixed ecogenity), the shape (lobule, non-lobule), the limit characteristics (right, uncertain), the internal structure (homogeneous, heterogeneous) and the nodes, and the dimensions of the calcification (micro, macro, square), the cystic area and halo were assessed. The findings: Thyroid thin injection aspiration biopsy result; 49 (%69) cases were benign, 2 (%2.8) cases of thyroiditis, 7 (%9.9) cases of malignity suspected, 3 (%4.2) cases of malignity and 10 (%14.1) cases of follicular neoplasm were considered. These results were classified as benign (benign with thyroiditis) and malignly suspicious (malign, malignly suspicious and follicular neoplasm). Statically meaningful (p<0.05) ultrasound findings were found in the malignant group as hypoecological structure (55% sensitivity, 78% specificity) and in the 16% (80%) uncertain limit characteristics (80% sensitivity, 50% specificity). Result: The most important in supporting malignity from ultrasound findings are found as hypoecogenicity and uncertain boundary characteristics, and it is believed that thin injection aspiration biopsy can be a guide in terms of nodular selection.

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