Study of Clinical Pattern of Thyroid Swellings and Their Management
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 2
Abstract
Introduction: Thyroid diseases are common worldwide. In India too, there is a significant burden of thyroid diseases. According to a projection from various studies on thyroid disease, it has been estimated that about 42 million people in India suffer from thyroid diseases. Clinically palpable nodules are encountered in about 8% of the adult population. With the use of imaging techniques, particularly ultrasound, the chance of detection of thyroid nodules has increased many folds. The recent data suggest that the incidence of thyroid malignancy is increasing over the years. There is very little data on the pattern of thyroid lesions for this part of country. Aims and objectives: The aim of the present study is to study the various presentation pattern of histomorphological changes of non – neoplastic and neoplastic lesions of the thyroid and their management. Conclusions: The majority of thyroid swelling patients presented in the age group of 31-40 years. Male to female ratio being 1:7.3. Thyroid swelling was more common on right side of the gland. Swellings were firm in most of the cases.Most of the patients were euthyroid at presentation. 16 patients showed heterogenous hypoechoic lesion on ultrasonography and cervical lymphadenopathy was seen in 5 cases. Among 33 patients, which showed colloid goiter on FNAC, 2 patients reported papillary carcinoma and 1 follicular adenoma on histopathology.There were 8 patients of papillary carcinoma on FNAC, 1 patient reported colloid goiter on histopathology.Colloid goiter was most commonly encountered disease. Papillary carcinoma was most commonly seen in age group of 21-40 years. Total thyroidectomy was most commonly performed surgery. Total thyroidectomy was performed along with neck dissection in 14% cases. Recurrent nerve palsy was seen in 2 patient, hypocalcemia in.3 patients, wound infection in 1 patient and seroma was seen in 2 patients. There was no mortality reported in our study.
Authors and Affiliations
Dr. Sudershan Kapoor, Dr. Ashwani Kumar, Dr. Bikramjit Singh, Dr. Gaurav Gupta, Dr. Amarbir Singh, Dr. Kaushal Seth
Keywords
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- EP ID EP580443
- DOI 10.9790/0853-1702052735.
- Views 74
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