CYTOLOGICAL PATTERNS OF THYROID LESIONS: A HOSPITAL–BASED STUDY DONE AT DISTRICT HOSPITAL (JLNM) SRINAGAR.

Dr Shaika Qadri; Dr Summyia Farooq; Dr Zhahid Hassan; Dr Neelofar Gul; Dr Nazir Shahdad; Dr Maria Jeelani

Volume : VII, Issue : II, February - 2018

CYTOLOGICAL PATTERNS OF THYROID LESIONS: A HOSPITAL–BASED STUDY DONE AT DISTRICT HOSPITAL (JLNM) SRINAGAR.

Dr Shaika Qadri, Dr Summyia Farooq, Dr Zhahid Hassan, Dr Neelofar Gul, Dr Nazir Shahdad, Dr Maria Jeelani

Abstract :

BACKGROUND .Most of the thyroid lesions clinically present as thyroid swellings either as thyroid nodules or as diffuse enlargement of the gland itself. Fine Needle Aspiration Cytology (FNAC) is a rapid, easy to perform, minimally invasive and cost–effective first line high diagnostic accuracy test for cytological evaluation of thyroid lesions with minimum complications.. The accurate cytological diagnosis of the thyroid lesions can direct the treatment modalities of the lesions and reduce unnecessary thyroid surgeries.

AIMS AND OBJECTIVES . TO study cytological patterns of thyroid swellings in patients attending a district hospital using fine needle aspiration cytology(FNAC).

MATERIALS AND METHODS

The prospective hospital based study done at district hospital (JLNM) Rainawari Srinagar.The study was based on �FNAC analysis of 51 thyroid lesions presented as thyroid swellings� (study group) in the period of two (01) years from June 1, 2016, to May 31, 2017, in the Pathology Department of JLNM Hospital, Srinagar.

Results and observations: The study included 51 patients. Female patients 35 comprised majority of thyroid lesions , while male patients were 16 of thyroid lesions with a male and female patients ratio of 1:2.18. Maximum patients with thyroid lesions, irrespective of sex in the study group were in the age group of 31–40 years. The youngest patient in the study group was a 15years and the oldest patient in the study group was a 70 years old. Out of 51 thyroid lesions in the study, FNA smears of 06 thyroid lesions were non dianostic . Out of remaining 45 thyroid lesions in the study, which had adequate FNA smears for cytological reporting, there were 29 (64.44) non–neoplastic lesions and 16 (35.55%) neoplastic lesions with a non–neoplastic and neoplastic ratio of 1.81:1. Colloid goitres were the commonest non–neoplastic thyroid lesions in the study.. Malignant tumors were more common neoplastic lesions 9(56.25%) were found to be more common than benign ones (43.75%) with a benign and malignant tumours ratio of 1:1.28 in the study. Follicular neoplasms were the commonest benign tumours and papillary thyroid carcinomas were the commonest malignant tumours amongst the studied thyroid lesions

CONCLUSION . FNAC is a minimally invasive, highly accurate and cost–effective procedure for the assessment of patients with thyroid lesions. It also helps in differentiating lesions that require surgery from those that can be managed otherwise.