Incidence of Error of Ultrasound in Comparison to Frozen Section in Suspicious Thyroid Nodule | ||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||
| Volume 7, Issue 2, August 2025, Pages 130-138 PDF (475.34 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aujv.2025.466941 | ||
| Abstract | ||
| Total thyroidectomy is the right treatment for people with thyroid cancer but not needed for people with non-cancerous nodules. while hemithyroidectomy (lobectomy and isthmectomy) may need more surgery if a nodule looks suspicious of cancer during the operation. So, malignancy will be assessed by frozen section intraoperative. The aim of the work is to evaluate the incidence of error of ultrasound in patients with suspicious thyroid nodules in comparison to frozen section. This study looked at 50 people with thyroid nodules. ultrasound preoperative revealed solitary suspicious thyroid nodule who underwent hemithyroidectomy while frozen section was done intraoperative to evaluate the ultrasound results. The initial study was conducted at General Surgery Department, Faculty of Medicine for Girls Al-Azhar University, Al-Zahraa University Hospital to evaluate the incidence of error of ultrasound in patients with suspicious thyroid nodules in comparison to frozen section. Using frozen section to distinguish between benign and malignant thyroid lesions is of accuracy 84% vs. 82%. However, ultrasound had higher Sensitivity 91.7% vs. 71.4% and frozen section had higher Specificity 100% vs. 76.9%. Also, malignant cases were statistically significant older, with higher number of solitary thyroid suspicious nodules, and more frequent complaints, progressive course, shorter disease duration and higher Bethesda score compared with benign cases. Based on our research, we can draw the inference that ultrasound goes with frozen section when distinguishing between benign and malignant thyroid growths. In recommendations, if possible, combined use of ultrasound and frozen section is advised to be used for better assessment of cases with suspicious thyroid nodules. | ||
| Keywords | ||
| Suspicious thyroid malignancy; Frozen section; Thyroid ultrasonography; Total thyroidectomy and hemithyroidectomy | ||
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