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İsparta Bölgesinde Tiroid Nodülü Olain Hastaların Patoloji, Ultrasonogram ve Sintigrafi Bulgularının Karşılaştırılması

The Comparison of Histopathology, Ultrasonography and Scintigraphy Findings in Patients with Thyroid Nodules in Isparta Region

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Abstract (2. Language): 
The aim of this study is to evaluate the histopathology, ultrasonography and scintigraphy findings in patients with thyroid, nodules in Isparta Region that endemic goiters developed. Thyroid scintigraphy and thyroid ultrasonography were performed in totaly 227 patients with thyroid nodules and the results were compared to the pathological diagnoses after thyroidectomy. Histopathological results were thyroid papillary carcinoma in 9 of 227 patients (% 3.9). We had diagnosed thyroid carcinoma in 14 of 205 solid nodules. We had diagnosed thyroid, carcinoma in 12 of 101 hypoechoge-nic nodules. Neither normoactive nor hyperactive nodules showed malign differantiation. We had diagnosed thyroid carcinoma in 14 of 334 hypoactive nodules. We had diagnosed thyroid carcinoma in 5 of 98 patients with nodular goiters (% 5.1) and in 4 of 129 patients with multinodular goiters (% 3.1).
Abstract (Original Language): 
Bu çalışmada, yurdumuzun endemik guatr bölgelerinden biri olan İsparta 'da tiroid nodülü olan hastaların tiroid ultrasonografisi ile tiroid sintigrafisi bulguları patoloji sonuçları ile karşılaştırıldı ve benign ile malign patolojilerde saptanan değişiklikler gözden geçirildi. Bu amaçla İsparta Devlet Hastanesi Genel Cerrahi Kliniklerinde tiroid nodülü tanısı ile öpere edilerek histopatolojik incelemesi yapılan 227 hastanın operasyondan Önce elde edilmiş olan tiroid ultrasonografisi ve tiroid sintigrafisi sonuçları ile patoloji bulguları karşılaştırıldı. Dokuz hastada (% 3.9) malignite saptandı. Malignite saptanan hastaların tamamında patolojik tanı papiller karsinoma idi. Dokuz maligniteli hastada saptanan 14 nodül tiroid ultrasonografisin.de solid yapıda olup 12 'si hipoekoik, 2 'si izoeko-ik yapıda idi. Tek nodülü olan hastaların % 5.1 'inde, birden fazla nodülü olan hastaların ise % 3.1 'inde malignite saptandı. Malignite tespit edilen hastaların sintigrafisinde nodüllerin tamamı hi-poaktif idi.
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