Volume : III, Issue : X, October - 2014

Clinical, Sonological And Pathological Evaluation of Thyroid Nodule

Dr. S. Vijaya Mohan Rao, Dr. O. Siddharth

Abstract :

Background and objectives: Nodular thyroid is a common clinical entity. The optimum diagnostic strategy for the patient with nodular thyroid is still a matter of debate. The goal of diagnostic workup now is to select those patients for surgery who have a high likelihood of harboring malignancy in the thyroid nodules. The present study was undertaken to evaluate the efficacy of FNAC and USG in differentiating benign and malignant nodules. Methods: A prospective study was carried out on 100 patients from 11–70 years age group of both sexes, presenting with thyroid nodules to Dept. of General Surgery during the period of September 2011 – September 2013. All patients were evaluated clinically and subjected to FNAC and USG of thyroid. The results of clinical diagnosis, FNAC and USG compared with histopathology reports. Results: The majority of the cases presented were females between the age group of 31– 40 years. Swelling in the anterior neck was the presenting complaint in all 100 cases. The sensitivity and specificity of FNAC in diagnosing benign and malignant lesion was 81.3%,100% and 74%,100% and USG 80.4%, 77.77% and 73%, 85.3% respectively. Interpretation and Conclusion: The commonest presentation was from the females in the age group of 31–40 years, with swelling in the anterior neck. Solitary thyroid nodule cases had 18% rate of malignancy. It was found that FNAC is a safe, reliable and cost effective diagnostic modality with a high sensitivity of 80% and specificity of 100% and is the single best investigation for preoperative evaluation of thyroid nodules.However, a combination of FNAC and USG give optimum results and avoid unnecessary surgery.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR.S. VIJAYA MOHAN RAO, Dr.O.Siddharth Clinical, Sonological And Pathological Evaluation of Thyroid Nodule International Journal of Scientific Research, Vol : 3, Issue : 10 October 2014

Number of Downloads : 1443

References :