Assessment of the Ultrasonological Findings of Goitrogenous Lesions

Benign swellings of the thyroid gland are a common occurrence, frequently seen in surgical practice. Regardless of their appearance, however, it is a must to ultrasonologically analyse them in order to confirm their morphology and pick up any warning signs which might point towards a malignant transformation. In this particular study, we analyzed the morphological features (ultrasonological) associated with benign goitrogenous lesions. To analyse specific ultrasonological findings of goitrogenous lesions and assess the frequency of their appearance. Patients meeting the inclusion criteria were included in the study. Detailed history taking and examination was done. Informed and written consent was taken from the patients before participating in the study. Patients suffering from clinically benign goiter underwent ultrasonological analysis of the lesions. The findings were analyzed and the frequency of their appearance were assessed. Significant correlation was found between the TIRADS category of the lesions and the final radiological diagnosis. Most of the lesions were found to be benign ultrasonologically with 4 having features strongly suspicious of malignancy. In our study, lesions diagnosed to be goiters on ultrasonological examination were found to fall in the TIRADS category I-III (benign to mildly suspicious) while lesions with features of thyroiditis fell in TIRADS category I. Glandular echotexture is inhomogeneous in a majority of goitrogenous lesions and the presence of normal thyroid volume does not exclude the presence of goiter.