MALIGNANCY IN THYROID NODULES- A RETROSPECTIVE ANALYSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 46
Abstract
BACKGROUND Thyroid cancer is a relatively uncommon malignancy accounting for less than 1% of all new malignancies. It is a slowly progressing disease and has an overall favourable outcome with only 9% of patients dying from it. The relatively indolent nature of thyroid malignancy is generally ascribed to the innocuous biological behaviour that is characteristic of these neoplasms. Among the various types of thyroid cancers, papillary carcinoma is the most common form followed by follicular and medullary carcinoma. Of all the thyroid carcinomas, papillary carcinoma has better prognosis. Anaplastic thyroid carcinoma usually assumes an aggressive course and is rapidly lethal, carrying the poorest prognosis of all. Most patients present with a palpable swelling in the neck which initiates assessment through a combination of history, physical examination, and FNA biopsy. MATERIALS AND METHODS This is a retrospective study of 50 cases of primary malignant tumours of thyroid diagnosed and treated in Osmania General Hospital and MNJ institute of oncology between June 2008 and November 2010 RESULTS The mean age of thyroid malignancy was 35.46 years with a female preponderance. 70% of the patients had papillary carcinoma followed by follicular carcinoma in 24%, Hurthle cell variant in 4% and lymphoma in the rest. Most of the cases (56%) had presented with solitary thyroid nodule and a history of duration between one to two years in 17 patients. Cervical lymph node enlargement was found in 17.14% of patients with papillary carcinoma. CONCLUSION Thyroid cancer is a common endocrine neoplasm which can occur most commonly between age groups of 21-65 years. Women are frequently affected. Usual mode of presentation is solitary thyroid enlargement with papillary carcinoma as the common type. Lymphatic spread is common with papillary carcinomas.
Authors and Affiliations
Erugurala Mahendar, Ravimohan T. R
Keywords
Related Articles
- EP ID EP548032
- DOI 10.14260/jemds/2018/1109
- Views 84
- Downloads 0
A CLINICAL STUDY OF HEART DISEASE IN PREGNANCY AT GOVERNMENT MATERNITY HOSPITAL
BACKGROUND 1Heart disease is the fourth most common cause of maternal death and the most common indirect cause of maternal mortality. The physiological adaptation of normal pregnancy can induce symptoms and alter clinica...
INGUINAL HERNIA MESHPLASTY USING LOCAL ANAESTHESIA- CURRENT OPTIONS IN A RURAL HOSPITAL: A REVIEW OF 96 CASES
BACKGROUND Groin hernia is one of the most common surgical problems in male. Its treatment is always surgical if not contraindicated otherwise. For many years, inguinal hernia surgery has been carried out under...
MUSHROOM POISONING INDUCED ACUTE LIVER FAILURE WITH DERANGED COAGULATION PROFILE
BACKGROUND Mushroom poisoning cases are frequently reported from Upper Assam during the monsoon season with varying but high mortality. Most of the cases reported from upper Assam are amatoxin poisoning. In one of our pr...
A CLINICAL, BACTERIOLOGICAL AND LABORATORIES PROFILE OF NEONATAL SEPTICAEMIA IN A TERTIARY CARE CENTRE OF EASTERN NEPAL
BACKGROUND The most common neonatal morbidity and mortality in underdeveloped countries is neonatal sepsis. The vague clinical sign and symptoms need high degree of suspicion for the early diagnosis and treatment, while...
PREGNANCY OUTCOME AFTER MITRAL VALVE REPLACEMENT: A CASE REPORT[b][/b]
Cardiac disorders in pregnancy poses special challenges to health care providers. Complications may arise at any stage due to increased hemodynamic load imposed by pregnancy or because of impaired cardiac perf...