TIRADS SYSTEM FOR NODULAR PATHOLOGY OF THE THYROID GLAND IN THE PRACTICE OF AN ENDOCRINOLOGIST

Today, the pathology of the thyroid gland (TG) occupies a leading place among endocrine pathologies. At the same time, nodules in the thyroid gland are determined in 30-70% of the population according to various literature data. Most often they are represented by nodular proliferating goiter, but a small percentage - thyroid cancer. Detection of cancer is possible with fine-needle aspiration node biopsy (FNAB) of the thyroid gland. Modern technical capabilities make it possible to perform FNAB of the thyroid gland with the size of formations from 2-3 mm. However, the question arises: is there a need for invasive diagnostics of absolutely all identified thyroid formations? Total biopsy of nodular formations is unjustified from the point of view of the economy and quality of life of patients. Full-scale implementation of the TIRADS system in the work of primary care allows ultrasound doctors to justify the indications for performing FNAB in thyroid nodules. The introduction of TBSRTC into the practice of cytological laboratories creates conditions for more efficient work of cytologists. A modern diagnostic information system based on TIRADS and TBSRTC reduces the time to make a decision and the likelihood of an error in making a diagnosis and choosing further treatment tactics.