presentation juornal reading
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DESTHA ALISSA
20110310199
DIFFERENTIATIONBETWEEN BENIGN AND
MALIGNANT SOLID THYROID NODULES USING
AN ULTRASOUND (US)
CLASSIFICATION SYSTEM
JOURNAL READING
Preceptor : dr. Kus Budiatiningrum Sp. Rad
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ABSTRAK
TUJUAN
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LANJUTANBAHAN DAN METODE
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LANJUTAN
HASIL
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PENDAHULUAN
•Tiroid USG ( US) adalah modalitas diagnostik
utama untuk mengevaluasi tiroid noduler.•Pada Ultrasound tiroid noduler munulse!agai lesi nodular dalam kelen"ar tiroid #ang di!edakan dari %arenkim #ang!erdekatan
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Lan!"an
•Banyak variabilitas penelitian laporan dalamakurasi diagnostik yang cukup besar dalam
tampilan untuk perbedaan antara tiroid noduler jinak dan ganas terlepas apaka ia memilikikon!igurasi "# padat atau kistik$•Tujuan dari penelitian ini adala untuk menilai
akurasi "# diagnosis untuk tiroid nodul padat jinakdan ganas menggunakan kinerja real%time "# dansistem klasi!ikasi dengan & kategori$
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BAHAN DAN METODES"!#$ P%&!'a$
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RITERIA INLUSI NODUL TIROID SOLID GANAS
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A* GanaGam!aran meman"ang US karsinoma %a%iler tiroid %ada &anita ' tahun
menun"ukkan h#%oehogeniit# !atas te%i tidak rata mikrokalsi*ikasi
nodul dengan diameter antero%osterior le!ih !esar di!andingkan
diameter transversal
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B* C!+$,a -,anaan Gam!aran longitudinal US karsinoma tiroid %a%iler %ada seorang &anita ' tahun menun"ukkan h#%oehogeniit# ditandai !atas halus dan !entuk
!ulat telur.
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C* B%+#-+'$n- hi%er%lasia nodular %ada &anita +, tahun menun"ukkan maroali*iation di !agian te%i nodul.
Pasien men"alani lo!ektomi kanan tiroid meski%un sitologi "inak %ada US-di%andu as%irasi "arum
halus untuk kon*irmasi %atologis.
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D* M-n,a+a. /- J$na/ an$"a "a.!n -n!n!//an $% -4.%,-n$4$"5 #an a+$n .a'!*
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E* J$na/
Gam!aran melintang US dari nodul "inak %ada &anita '+ tahun menun"ukkan !entuk !ulat telur isoehogeniit# dan !atas halus
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-"a"a"$/ '$6a#-n%&a"$ /a+$n%a "$+%$# &a&$'-+ #$$'a5a. &-+$".5+%$#a'* ,a7a+ -'$n"an, US an$"a
7-+!$a 2 "a.!n8-n!n!//an /-'-na+ ,-"a. 7-n$n,(&ana.) #-n,an /%&%n-n /$"$/ $n"+an%#a' (&ana.) #$-&anan, /-#!a a'!+ "+a/-%-%6a,-a' #$ "$n,/a" "+a/-a
a"a
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HASIL• Da+$ 191 n%#!' %'$# 103 -na#$ aa+an %&-+a$
"$+%$# * a"-,%+$ US $n$ !n"!/ 191 n%#!' a#a'a. :
• Gana (n ; 2)
• C!+$,a /-,anaan (n ; 1<)
• B%+#-+'$n- (n ; 23)
• M!n,/$n $na/ (n ; 1=)
• J$na/ (n ; =2)
• S-7!a. ana'$$ /!+>a R-4-$>-+ O&-+a"$n,4.a+a4"-+$4 (ROC) -n,!n,/a&/an 7a.a#$a,n%$ US !n"!/ n%#!' "$+%$# &a#a" -n,,!na/an /a"-,%+$ $"- /'a$?/a$ US an,a" 7a$/*
• S-n$"$>$"a &-$?$"a n$'a$ &+-#$/$ &%$"$6 #ann-,a"$6 #an a/!+a$ #$a,n%$ US =< 9 9192 #an 92
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Ga7a+an n%#!' $na/ #$4!+$,a$ ,ana-7a,a$ .a$' #a+$ US "$+%$# &a#a an$"a 2 "a.!n (&%$"$6 &a'!)*,a7a+an US '%,$"!#$na' #a+$ n%#!' "$+%$# #$ -7-'a. /$+$
-n!n!//an &-+"-n,a.an '%7! .5&%-4.%,-n$4$"5 &$4!'a"-#a+,$n #an 7-n"!/ 7!'a" (&ana.)Na!n '-$ #$/%n?+a$ -7a,a$ n%#!' /%'a& &%n"an n%#!' #a+$-7-'!n5a -7-'!n5a /$"$/ n%#!' "$+%$# -'a'!$ a&$+a$ a+!.a'!
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Pa&$''a+5 4a+4$n%a ".5+%$# #$"!n!/ -7a,a$ $na/
#a+$ US "$+%$# &a#a an$"a 1= "a.!n (n-,a"$>-&a'!)*Ga7a+an US #a+$ n%#!' "$+%$# /anan -n!n!//an7-n"!/ 7!'a" "-'!+ $% -4.%,-n$4$"5 7a"a .a'!
#an >a/!'a+$a$ &-+$6-+ (A B)*
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DISUSI
• US a#a'a. 5an, &a'$n, 7-+,!na -7a,a$ a'a"#$a,n%"$/ !n"!/ -n,->a'!a$ "$+%$# n%#!'*
• M-n-n"!/an a/!+a$ #$a,n%"$/ #a+$ $"-/'a$?/a$ US #-n,an -n,,!na/an
/a"-,%+$ !n"!/ "$+%$# n%#!' %'$# #an +-a'8"$- US*
• -a/!+a$an #$a,n%$ "$+%$# US '-7$. "$n,,$&a#a &-n-'$"$an $n$ #$/a+-na/an &-+"aa-n,,!na/an $"- /'a$?/a$ US #-n,an
/a"-,%+$* -#!a -n,,!na/an +-a'8"$- US#an +-'a"$6 +-%'!$ 5an, '-7$. "$n,,$%#a'$"a US #$7an#$n,/an #-n,an&-n-'$"$an -7-'!n5a
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Lan!"an
• &-n-'$"$an $n$ -n,,a7a+/an /-7-+a#aan'$6a#-n%&a"$ #-n,an $4+%4a'4$?4a"$%n$n"+an%#a' a"a! /%&%n-n /$"$/ 5an, ?"!+%n%,+a?n5a "-+/a$" /-'-na+ ,-"a. 7-n$n,
5an, -n#!/!n, /-,anaan*• P-n-'$"$ -n,an,,a& /-'-na+ ,-"a. 7-n$n,
"-+/a$" #-n,an $4+%4a'4$?4a"$%n$n"+an%#a' a"a! /%&%n-n /$"$/ #$ $'a5a.&-+$".5+%$#a' -na#$ /+$"-+$a ,ana
• S$n,/a"n5a a/!+a$ #$a,n%"$/ "$+%$# US!n"!/ +->$- "$+%$# n%#!' &a#a" 7a$/ /-"$/a /a"-,%+$ US $"- /'a$?/a$ #$"-+a&/an*