الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work We aimed to study ultrasonographic thyroid volumetry and to measure the mean thyroid volume in EL-Minia comparing with other studies in endemic and non endemic areas of goiter in other countries allover the world and to physiological, pathological and environmental factors affecting thyroid volume. Conclusion In conclusion, our study showed the value of ultrasonography in diagnosis of nearly all thyroid diseases including simple goiter (diffuse and multinodular), toxic goiter (diffuse, multinodular and solitary toxic nodules), hypothyroidism (Hashimoto, idiopathic, trophoprivic and goitrous hypothyroidism) in following up patients after thyrodectomy, in diagnosis of thyroid cysts and thyroid newplasms including those not detected clinically and in taking biopsies and doing aspirations under its guide. We recommend the use of ultrasonography as an outpatient procedure for any case of suspected thyroid disease. Our experience in finding malignancy in toxic multinodular gland and solitary non-clinically detected thyroid nodule stresses upon the opinion of taking ultrasonographic biopsies for all cases of thyroid nodules. Also, we recommend regular routine thyroid ultrasonography even once every two years for all attendants and this can be achieved by health education and considering thyroid ultrasound examination in the list of investigations of the routine check up. Because of the high clinical fallacy in determination of thyroid disease, we recommend using thyroid ultrasonography in epidemiological studies in the cities and villages of EL-Minia governorate and in Egypt especially New Valley and Aswan governorates in which goiter is suspected to be endemic by other studies. |