Correlación de las características ecográfica-paaf de nódulos tiroideos con diagnóstico anatomopatológico en el Hospital Teodoro Maldonado Carbo en pacientes entre 30 - 60 años durante el 2013
Fecha
2014
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Los nódulos tiroideos son una patología frecuente a nivel mundial, según datos recientes del Registro Nacional de Tumores, el Ecuador está entre los países con más alta incidencia de cáncer de tiroides en el mundo, diariamente se reciben en el Área de Imágenes del Hospital Teodoro Maldonado Carbo (IESS) pacientes derivados del servicio de Endocrinología para realizarse PAAF (Punción Aspirativa con aguja fina), guiada por ecografía, constituyendo en la actualidad la prueba más fiable para determinar la naturaleza de un nódulo tiroideo, sólo superada por la exéresis quirúrgica y permite el estudio anatomo-patológico de la lesión, con las mínimas molestias clínicas del pacientes posteriores a la realización del examen. La enfermedad tiroidea es un problema de salud cuyo diagnóstico temprano de la etiología del nódulo podrá otorgar tratamientos oportunos y precisos, así como una rápida integración a la actividad laboral.
Se realizó una investigación acerca de las características ecográfica de los nódulos tiroideos con diagnóstico anatomo-patológico de 77 pacientes durante todo el año 2013, las muestras fueron obtenidas por PAAF guiada por ecografía. Se determinó de esta forma que el diagnóstico benigno más frecuente es el quiste coloideo (40%), y el porcentaje de cáncer es del 6.5% entre 30 -60 años, solo manifestándose en mujeres de extirpe papilar, el porcentaje de muestras insuficientes obtenidas por el PAAF fue del 15.6%. A través de este trabajo se especifican las características ecográficas que sirven de referencia para que el médico Endocrinólogo del HTMC seleccione adecuadamente los pacientes que se le debe realizar PAAF. Las lesiones benignas como malignas son valoradas en su contenido interior, bordes, presencia de halo y calcificaciones y características al doppler.
Se ejecutó un estudio descriptivo, retrospectivo y observacional.
Thyroid nodules are a common condition worldwide, according to recent data from the National Cancer Registry, Ecuador is among countries with the highest incidence of thyroid cancer in the world, daily received at Area Hospital Teodoro Maldonado Images Carbo (IESS) patients referred for service performed Endocrinology for FNA (fine needle aspiration), ultrasound-guided, constituting at present the most reliable test to determine the nature of a thyroid nodule, surpassed only by surgical excision and allows the pathological study of the lesion, with minimal clinical discomfort after the examination patients. Thyroid disease is a health problem for which early diagnosis of the etiology of the nodule may provide timely and accurate treatments and rapid integration into the workforce. An investigation of the sonographic features of thyroid nodules with pathological diagnosis of 77 patients during the year 2013 was performed, samples were obtained by ultrasound-guided FNA. Thus determined that the most common benign diagnosis is the colloid cyst (40%), and the cancer rate is 6.5% between 30 -60 years, women only papillary manifesting extirpated, the percentage of samples obtained by insufficient the FNA was 15.6%. Through this work the ultrasound characteristics that serve as reference for the doctor HTMC Endocrinologist properly select patients who will be performing FNA specified. Benign and malignant lesions are valued content inside edges, presence of halo and calcifications and the Doppler characteristics. A descriptive, retrospective, observational study was performed.
Thyroid nodules are a common condition worldwide, according to recent data from the National Cancer Registry, Ecuador is among countries with the highest incidence of thyroid cancer in the world, daily received at Area Hospital Teodoro Maldonado Images Carbo (IESS) patients referred for service performed Endocrinology for FNA (fine needle aspiration), ultrasound-guided, constituting at present the most reliable test to determine the nature of a thyroid nodule, surpassed only by surgical excision and allows the pathological study of the lesion, with minimal clinical discomfort after the examination patients. Thyroid disease is a health problem for which early diagnosis of the etiology of the nodule may provide timely and accurate treatments and rapid integration into the workforce. An investigation of the sonographic features of thyroid nodules with pathological diagnosis of 77 patients during the year 2013 was performed, samples were obtained by ultrasound-guided FNA. Thus determined that the most common benign diagnosis is the colloid cyst (40%), and the cancer rate is 6.5% between 30 -60 years, women only papillary manifesting extirpated, the percentage of samples obtained by insufficient the FNA was 15.6%. Through this work the ultrasound characteristics that serve as reference for the doctor HTMC Endocrinologist properly select patients who will be performing FNA specified. Benign and malignant lesions are valued content inside edges, presence of halo and calcifications and the Doppler characteristics. A descriptive, retrospective, observational study was performed.
Descripción
PDF
Palabras clave
ECOGRAFIA, ANATOMOPATOLOGIA, ENDOCRINOLOGIA, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR, NODULO TIROIDEO