RETROSPECTIVE STUDY OF THYROID SWELLING- ROLE OF FNAC AND HISTOPATHOLOGY IN DIAGNOSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 77
Abstract
BACKGROUND The human neck is so designed that a swelling of normal structure or produce of abnormal one is readily apparent. Neck swellings may arise from any one of the 300 lymph nodes, skin and soft tissue structures which are essentially lateral neck swelling. MATERIALS AND METHODS We have conducted a retrospective study of 215 cases of neck masses admitted in MIMS under surgical wards from 2011 - 2016. Among these, 104 cases are of thyroid origin and 111 cases are of non-thyroid origin. In the present study, age and sex distribution incidence and diagnostic accuracy of FNAC and histopathology for thyroid swellings is done. Study design is a descriptive study. RESULTS In our study, out of 1,82,587 OPD patients who attended the surgical and ENT from 2011 – 2016, 104 swellings are of thyroid origin with an incidence of 0.057%. Thyroid nodules are common in women; 80% - 90% of thyroid swellings are benign and around 10% - 20% are malignant. Male-to-female ratio ranges from 1:16 (Adenoma of thyroid) to 1:1 (thyroglossal cyst). The common presentation of thyroid swelling is multinodular goitre and adenoma of thyroid. The accuracy of FNAC in our study is 95.16%. CONCLUSION Early detection of a goitre will lead to different clinical approach from detection of follicular adenoma or papillary carcinoma. Although, the technique of FNAC is simple and cheap and cost-effective, it is an effective screening test for selecting cases for surgery.
Authors and Affiliations
Bhanumathi V, Venkata Ramana Rao S
Keywords
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- EP ID EP267586
- DOI 10.14260/Jemds/2017/1194
- Views 90
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