EP88 – Novel scoring method of thyroid nodule “TUF” for effective communication between care takers

     

    Mishra, A.K.1; Singh, K.1; Ramakant, P.1; Rana, C.2
    1 Department of Endocrine Surgery, King George’s medical University, Lucknow, India
    2 Department of Pathology, King George’s medical University, Lucknow, India

     

    Background: A novel scoring method of thyroid nodule “TUF” incorporating various recommendations for effective communication between care takers was devised. Aim is to evaluate TUF scoring for communication between care takers.

    Methods: Demographic, clinical data were noted & TUF score was given (April 2016- December 2016). In TUF scoring ; T nodule size in cm (T1:<1, T2: 1-4, T3: >4 – 8, T4: > 8; e suffix: extra thyroidal or restricted mobility, r: retrosternal); U for HRUS features as per ATA 2015, F for FNAC, as per Bethesda or ATA 2015 guidelines (Fx: non diagnostic, F1: Benign, F2a: Atypia of Undetermined significance (AUS) or Follicular lesions of undetermined significance (FLUS), F2b: Follicular Neoplasm, F3: suspicious for malignancy, F4: Malignant.

    Results: Out of 200 patients of thyroid ailments presented, 56 underwent surgery (table).

    T Number of patients %
    T1 4 7%
    T2 31 55%
    T3 15 27%
    T4 6 11%
    e
    r
    3
    5
    U1 7 12.5%
    U2 40 72%
    U3 7 12.5%
    U4 2 3%
    F1 41 75%
    F2a 1 1%
    F2b 9 16%
    F3 2 3%%
    F4 3 5%


    Conclusion:
    TUF scoring was very useful in effective communication between residents, clinicians involved in investigations and management by a common language. It helped us in standardizing the reporting of US and FNAC reporting from radiologist and pathologists.

     

    References:

    1. ATA guidelines 2015
    2. Bethesda Guidelines

 

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