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What’s Wrong With This Picture? Challenging Cases ...
What’s Wrong With This Picture? Challenging Cases ...
What’s Wrong With This Picture? Challenging Cases in Thyroid Ultrasound Imaging
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Video Transcription
Video Summary
In the video, the speaker, Dr. Jennifer Sipas, discusses various cases and classification systems for thyroid nodules. She mentions the ATA (American Thyroid Association) and ACR (American College of Radiology) sonographic risk stratification systems, which categorize nodules based on their likelihood of malignancy. Dr. Sipas explains that both systems have strengths and limitations and perform similarly in terms of sensitivity and specificity.<br /><br />She also emphasizes the importance of considering patient factors, such as family history and radiation exposure, when evaluating thyroid nodules. Dr. Sipas discusses the features of nodules, including echogenic foci and calcifications, and how they impact the risk of malignancy.<br /><br />The speaker highlights the challenges of categorizing nodules with cystic components and the importance of considering the composition of the nodule in determining its risk. She also discusses the use of molecular testing for further risk stratification and decision-making regarding FNA (fine-needle aspiration) or surgical intervention.<br /><br />In one case, Dr. Sipas presents a patient with atypical cells detected on FNA, and she discusses the options for repeat FNA, molecular testing, or surgery. She emphasizes the importance of considering the subtype of atypical cells and their risk of malignancy.<br /><br />Overall, the video provides an overview of the classification systems and considerations for the evaluation of thyroid nodules, including patient factors, composition of the nodule, and the use of molecular testing for risk stratification.
Keywords
thyroid nodules
sonographic risk stratification
malignancy
patient factors
echogenic foci
calcifications
molecular testing
atypical cells
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