Thyroid nodules: ultrasonographic stratification of malignant risk by TIRADS


  • George Thomas Department of ENT, Believers Church Hospital, Thiruvalla, Kerala, India
  • Surumi S. Department of ENT, Believers Church Hospital, Thiruvalla, Kerala, India
  • Anulekha Mary John Department of Endocrinology, Believers Church Hospital, Thiruvalla, Kerala, India



TIRADS, Thyroidectomy, Papillary cancer thyroid


Background: Thyroid neoplasia is easily diagnosed with, noninvasive imaging modality like ultrasonography that is widely available. TIRADS scoring is a useful modality in establishing better stratification of cancer risk in thyroid nodules, particularly, papillary thyroid cancers (PTC) as well as papillary thyroid microcancers (PTMC).

Methods: All patients who presented with thyroid swelling and underwent surgery in the department of ENT were included in this study. All patients were evaluated with ultrasonographic examination of the neck. The decision of surgery was based on TIRADS scoring, size of swelling, or patient preference. Ultrasound features of the nodules, number of malignant features and TIRADS scoring were compared with final histopathology of the tumors.  

Results: A total of 58 thyroid surgeries were performed from January 2014 to December 2017. On statistical analysis, we found that more the number of radiological features favouring malignancy more were the likelihood of finding malignant histopathology.

Conclusions: Ultrasonographic features of malignancy along with TIRADS scoring are an extremely useful tool in diagnosing thyroid cancers and will help in standardising all sonographic reports.

Author Biographies

George Thomas, Department of ENT, Believers Church Hospital, Thiruvalla, Kerala, India

associate professor

department of ent

Surumi S., Department of ENT, Believers Church Hospital, Thiruvalla, Kerala, India

junior resident

department of ent

Anulekha Mary John, Department of Endocrinology, Believers Church Hospital, Thiruvalla, Kerala, India

associate professor 

department of medicine


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Original Research Articles