[Preoperative examination of patients with thyroid nodules by high-resolution real-time ultrasonography]

Fifty patients with thyroid nodules were examined by high-resolution real-time ultrasonography (US) before surgery. Of this series, the sonographic features of 54 nodules in 41 cases were classified according to internal echogenicity, cystic components, margin, sound transmission, anterior extra-thyroid extension, and peripheral "halo" sign. Except for the last, the differences between benign and malignant nodules were statistically significant (P < 0.05, P < 0.01 or P < 0.001). The comparisons of US and palpation examination (PE) with postoperative pathological findings were undertaken in these 50 cases, respectively. The sensitivity and accuracy for US were much higher than those for PE (sensitivity, 97% vs. 77%; accuracy, 97% vs. 76%). Our results show that by analyzing some sonographic characteristics, it may be possible to differentiate benign from malignant lesions and owing to its higher sensitivity and accuracy, ultrasonography is a better choice of the scrutiny into thyroidal gland.