A correlative study of FNAC of thyroid swelling with thyroid hormone profile among tribal population of Jharkhand: A Prospective study

Dr.Nisha Kumari; Dr.K.P SINHA; Dr.Amarnath Nayak

Volume : IX, Issue : VII, July - 2019

A correlative study of FNAC of thyroid swelling with thyroid hormone profile among tribal population of Jharkhand: A Prospective study

Dr. Nisha Kumari, Dr. K. P Sinha, Dr. Amarnath Nayak

Abstract :

Introduction: Fine needle aspiration cytology ((FNAC) is the most sensitive, accurate and cost effective initial method for the thyroid lesion. Serum thyroid stimulating hormone (TSH) estimation is helpful as an initial test. Out of the total population of 3 crore in Jharkhand, India, 27% constitute the tribal population. There are few studies related to prevalence of thyroid lesion among tribal population. The health seeking behavior of Tribals particularly from rural areas is very low due to their believe in traditional customs, norms, sorcery, etc Aim: To determine the correlation between different morphological patterns of thyroid swelling by FNAC and Thyroid hormone profile(T3,T4and TSH) among tribal population of Jharkhand. Material and methods: We have selected ninety two Tribal patients having enlarged thyroid swelling. Prior doing FNAC on these patients thyroid hormone profile had been done. Then FNAC was done in every patient in the Cytopathology section of department of Pathology, RIMS, Ranchi. Results: The study found that out of 92 cases of thyroid swelling, 72 patients are female and 20 patients are male. On the basis of thyroid hormone profile we found that maximum no of patients are Euthyroid. By FNAC, we got 31 cases of colloid goiter, 22 cases of colloid cyst, 4 cases of Grave’s disease, 6 cases of Hashimoto’s thyroiditis, 13 cases of lymphocytic thyroiditis, 7 cases of follicular neoplasm, 2 cases of papillary carcinoma. Conclusion::It renders unnecessary the need for excisional biopsy in advanced disease, elderly patients or in case where treatment is non–surgical. All the fine needle aspiration diagnosis must be viewed in the light of the clinical picture and thyroid hormone profile to minimize the risks of a false–negative report.