Thyroidnodule scanning by using ultrasonography during health check-up

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Author:
WANG Zhen-jie(Department of Healthcare, Peking Union Medical Callege Hospital, Beijing 100730, China)
WEI Fan(Department of Healthcare, Peking Union Medical Callege Hospital, Beijing 100730, China)
LI Mei-xia(Department of Healthcare, Peking Union Medical Callege Hospital, Beijing 100730, China)
SHAREN Gao-wa(Department of Healthcare, Peking Union Medical Callege Hospital, Beijing 100730, China)
GAI Xiao-rong(Department of Healthcare, Peking Union Medical Callege Hospital, Beijing 100730, China)
Journal Title:
Chinese Journal of Health Management
Issue:
Volume 05, Issue 06, 2011
DOI:
10.3760/cma.j.issn.1674-0815.2011.06.009
Key Word:
Physical examination;Thyroid nodule;Ultrasonography

Abstract: Objective To study the effectiveness of ultrasonography in thyroidnodule disease detection and malignant/benign lesion differentiation during health check-up.Method Thyroid examination data of Peking Union Medical College Hospital(PUMCH)staff over the last 6 years were retrospectively reviewed.The results of thyroidnodule scanning by using ultrasonography were compared with the findings of physical examinations.Results Among 6348 health check-up receivers from 2006 to 2010,450 were found to have thyroidnodule(detection rate 7.09%).Twenty malignant lesions were confirmed in histological examinations(mean detection rate per year 0.38%).In 2011,1706 thyroid glands were scanned by both physical examination and ultrasonography,and 525 thyroidnodules were identified(detection rate 30.77%).Surgical operations were performed for 22 suspected malignant tumors,and 18 malignant lesions were finally confirmed(detection rate 1.06%).Conclusion Ultrasonography can improve the detection of thyroidnodule.Irregular shape,microcalcification,and rich blood-flow may indicate malignant nodules.

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