Associative Study of Fine Needle Aspiration Cytology of Thyroid with Histopathological Study – A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Introduction:- Thyroid diseases are frequently encountered endocrine disorders in clinical practice. Majority of these are benign, of which goitre is the commonest. Only a few are malignant. Clinical evaluation helps in diagnosis but it has limitations. Nevertheless, it is difficult to distinguish the early malignant lesions from the more prevalent benign goitres Material & Methods:- This study was conducted including patients who visited SVS Medical College and Hospital, Mahabubnagar, during the period from October 2015 to September 2017 with palpable thyroid swellings and were subjected to needle aspiration. Data was summarized by mean+- SD for continous data and percentages for categorical data. Chi-square test was done to compare variable and p value less than 0.005 is taken as statistically significant Results:- Patients who presented with palpable thyroid swellings during the study period from October 2014 to September 2016 were subjected to fine needle aspiration cytology. Of these 54 turned out to be unsatisfactory, as aspirate consisted non specific material. Of the remaining 332 cases, 150 patients underwent surgery in this hospital. The histopathological diagnosis was compared with Cytological diagnosis in these patients. The majority of the patients were in their 3rd, 4th, and 5th decades of life. 138 were females and 12 were males, the female to male ratio being 11.5:1 Conclusion:- Multinodular goitres and colloid goitres were easily diagnosed by FNAC, but confusion prevailed in cases of follicular adenomas. Difficulty was experienced in distinguishing Hashimoto’s thyroiditis from hyperplastic nodular goitre. FNAC is simpler, safer, quicker and more informative, compared to other sophisticated investigations in the diagnosis of thyroid lesions. It should be exploited to its maximum benefit on all thyroid swellings.
Authors and Affiliations
Dr Ramesh Kumar korumilli, Dr Muvva Sri harsha, Dr Srikanth Jakkula, Dr Kanmathareddy Amulya
Keywords
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- EP ID EP428284
- DOI 10.9790/0853-1712080310.
- Views 63
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