A study of clinical profile of thyroid swelling at tertiary health care centre
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Introduction: Thyroid disorders are the most common endocrine disorder seen in clinical practice and solitary thyroid nodule is one of the common presentations of thyroid disease. Aims and Objectives: To Study Clinical Profile of Thyroid Swellings at Tertiary Health Care Centre of Goa. Materials and methods: The clinico-pathological study of thyroid swellings was carried out on 50 patients who attended the surgical Out Patient Department of Goa Medical College and were later operated. A detailed clinical history with especial emphasis on age, sex, duration of swelling,. Compression symptoms, toxicosis, pain, hoarsness of voice, was obtained. The patients were thoroughly examined. Detail Local examination was done, the type, consistency, retrosternal extension, were noted. Compression symptoms, evidence of thyrotoxicosis were looked for. Results: Maximum cases were found in age group of 21 to 30 years and in 31 to 40 age group. Two cases belonged to group of less than 10 years. These patients were 1 year and 11/2 years old, 4 patients belonged to the age group of 41 to 50 years and 3 belonged to 51 to 60 years group. Female preponderance was noticed. Out of 50 cases studied 45 were females and only 5 were males. Thus the ratio of sex incidence, male to female noticed to be 1:9. The most common Clinical features were Swelling in the neck, palpitations, loss of weight, nervousness and tiredness were seen to be common complaints. Eighteen patients complained of palpitations, 16 complained of loss of weight. Five patients had hoarseness of voice. Two patients, who had sudden onset of the swelling, had pain in the swelling. In prevalence of Thyroid disease out of total cases 27 cases had non-toxic nodule, 23 cases had multinodular goiter. A single case of had nodular goitre with retrosternal extension. In 3 cases, carcinoma was suspected after investigation. Two patients had diffuse toxic goitre and 2 had nodular toxic goitre. Conclusion: Maximum cases were found in age group of 21 to 30 years and in 31 to 40 age group. Female preponderance was noticed. The most common Clinical features were neck swelling, decreased weight palpitations, nervousness and tiredness. In prevalence of disease the most common cases were Thyroid nodule, then nodular non-toxic goitre followed by nodular goitre with retrosternal extensionand carcinoma was least common.
Authors and Affiliations
Namita Prabhu, Sanjay More
Keywords
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