Palabras clave
cáncer de tiroides
nódulo tiroideo
ultrasonografía
TI-RADS
adherencia
Cómo citar
Resumen
Contexto: la ecografía tiroidea es la herramienta más importante en el estudio del nódulo tiroideo y su utilidad está supeditada a un adecuado reporte que permita su interpretación y análisis.
Objetivo: evaluar la adherencia de los reportes de ecografía tiroidea de un hospital universitario, de acuerdo con un sistema estandarizado.
Metodología: 215 ecografías realizadas en el año 2022 y seleccionadas consecutivamente fueron evaluadas de acuerdo con los parámetros de la propuesta del panel de expertos de la Thyroid, Head and Neck Cancer (THANC) Foundation. Se reportaron las frecuencias absolutas de cumplimiento de los criterios.
Resultados: el 44?% de las descripciones de los nódulos tiroideos, el 16?% de las descripciones de la glándula tiroides y ninguna de las descripciones de los ganglios linfáticos completó más del 75?% de los parámetros evaluados. El reporte de algunos elementos esenciales fue de carácter infrecuente, como la extensión de la glándula tiroides a mediastino (6?%), el reporte de la relación entre el alto y el ancho del nódulo (24?%), los bordes del nódulo (40?%) y la presencia de calcificaciones (43?%) de los nódulos.
Conclusiones: los reportes ecográficos estudiados tienen una baja adherencia a la propuesta estandarizada de la THANC, lo que disminuye su calidad, por lo que es necesario implementar intervenciones que optimicen el reporte de ecografía tiroidea.
Citas
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