Volume : VII, Issue : IV, April - 2017

INCIDENCE OF MALIGNANCY IN CASE OF SOLITARY NODULE THYROID – ORIGINAL ARTICLE

Dr. B. Tatarao, Dr. A. Suvarchala, Dr. Sravan Kumar

Abstract :

 AIMS &OBJECTIVES: To study the incidence of malignancy and treatment modalities for  solitary nodule thyroid .

 INTRODUCTION : Nodular goiter is a common endocrine problem in the world today. The primary aim of investigating a thyroid nodule is to look for the possibility of malignant transformation. The objective of the study was to understand the usefulness of FNAC and ultrasound neck in the pre operative evaluation as a diagnostic tools in the management of Solitary nodule of thyroid.

MATERIALS AND METHODS : Prospective analysis of 100 cases of solitary nodule of thyroid was done.Clinical features, FNAC and ultrasound neck of the nodule were compared with histopathological examination.

 RESULTS: The present study is aimed at analyzing the different treatment modalities in the management of thyroid disorders and to know the incidence of malignancy.A total of 100 patients examined, investigated and cyto histological features compared with clinical features.Incidence of solitary nodule is more in females than males (72% : 18% ) .Incidence of malignancy in case of solitary nodule is 21% is more common in male (38%) than in female (19%).The common age of incidence of malignancy in a case of solitary nodule is between 20 to 50 years.The most common clinical presentation is swelling in front of neck.Most of the swellings are firm in consistency.Involvement of the cervical lymph nodes is rare.Colloid goiter is the most common type of non neoplastic disease entity.Follicular adenoma is the most common benign disease.Most of the malignant swellings are euthyroid.Many clinical features can be correlated with histopathology and comparable with other studies.Male sex is a high risk factor, as they constitute 60 % malignant swellings when compared to 7.14% of benign swellings.A size of > 4cms is a risk factor for malignancy.Hardness of the swelling is associated with malignancy, though this is not comparable with other studies  (30% in this study compared to 50%in other studies).

CONCLUSION: In centers with the experience of fine needle aspiration,clinical examination,ultrasound neck  estimated to reduce the number of thyroidectomies by approximately 50%, to roughly double the surgical correction of carcinoma, and to reduce the overall cost of medical care by 25%.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR.B.TATARAO, DR.A.SUVARCHALA, DR. SRAVAN KUMAR, INCIDENCE OF MALIGNANCY IN CASE OF SOLITARY NODULE THYROID – ORIGINAL ARTICLE, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾4 | April-2017

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