Small lesions of the thyroid gland--the significance of ultrasound examination in the selection of lesions for biopsy

The aim of this study was to find the ultrasound (US) features which can be helpful in selecting small thyroid lesions for fine needle aspiration biopsy (FNAB). The outcomes were analyzed of US examinations, FNABs, and postoperative histopathological examinations performed during the years 2000-2005. The occurrence of small lesions of the thyroid revealed by US was assessed. Then, palpability and several US features of those lesions were evaluated, like the total echogenicity, the pattern of vascularisation, the presence of microcalcifications and coexistence with other lesions in the goitre. Those features were correlated with the results of histopathological examinations. Altogether 356 lesions found in 284 patients were analyzed, of which 315 were non-neoplastic lesions, 12 - follicular neoplasms, and 29 - thyroid carcinomas. The small thyroid lesions were revealed in 53.8% patients examined by US. The detailed analysis of US outcomes and the postoperative histopathological examinations showed that carcinomas with diameter