don’t need surgery. 40 cases of thyroid swelling admitted in hospital were included in this study. Patients reported to the hospital with complaints

of swelling, pain, pressure effects etc having duration varying from 3 weeks to 12 years. Detailed clinical and thorough physical examination was

done in all patients. All routine and special investigations were performed. The initial screening included TSH levels, ultrasonography, FNAC and

radionucleotide scan. The aim of the present study is to correlate the cytology findings with final histopathology. All of these patients were

subjected to both cytological and histopathological examination. In this study commonest age group involved is third and fourth decade with male

to female ratio being 1:3.

RESULTS

In our study of 40 thyroid lesions, the diagnosis according to cytological features were classified into Malignant, Benign, Indeterminate (suspicious

for follicular or Hurthle cell neoplasm) and Insufficient for diagnosis.

CONCLUSION

FNAC is an essential component in the preoperative management of thyroid lesions. Nodular goitre may have single or multiple nodules. These are

more common in females. Mostly goitres are asymptomatic but few may be symptomatic. Serum TSH is main screening test for thyroid function.

FNAC is the initial diagnostic test and histopathology is performed for definitive diagnosis. Fine needle aspiration cytology is a cost effective,

rapid, simple procedure with high degree of accuracy and it has become the mainstay in the evaluation of thyroid lesions among clinicians and

endocrinologists. Histological correlation indicated FNAC to be a good diagnostic tool.