Reassessing Combining Real-time Elastography with Fine-needle Aspiration Biopsy to Identify Malignant Thyroid Nodules

Abstract

Debate is still ongoing in the thyroid gland with indeterminate cytology w/wo suspicious clinics and sonographic features, besides their size selection criteria, in Endocrine Pathology, Endocrine Surgery, and Thyroidology, till today. Real-time elastography (RTE) still have been utilized for this purpose though it remains a controversial determinant. We postulate that the so-called RTE diagnostic tool selectively is enriched by considering nondiagnostic, Category I, and indeterminate cytology, Category III, IV, and V, of The Bethesda System for Reporting Thyroid Cytopathology, TBSRTC, 2nd ed., individually and separately, regarding noninvasive follicular thyroid neoplasm with papillary-like nuclear features, NIFTP, all of which a wide range of implied risk of malignancies.