Solitary Thyroid Nodule: Efficacy of Ultra-sonography, Histopthology and FNAC in Diagnosing Malignancy and Various Surgical Modalities in Management
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
The main concern associated with Solitary thyroid nodules (STN) is their chances of malignancy, importantly only 5% of thyroid nodules have been found to convert into thyroid cancers. With prevalence of STN it becomes very important to define a clear evaluation strategy for management of STN and identify the cases of malignancy which either require surgical intervention or can be managed conservatively. Present study was a prospective study done on 50 cases of solitary thyroid nodule. All the selected subjects were evaluated for criteria’s such as sex, age and site of occurrence. Clinical presentation studied for signs for STN such as swelling, pain and other defined points. Dignosis of STN was done by USG initially followed by histopathology studies and FNAC studies. Outcomes of study concluded thyroid enlargement more common in females compared to males with ratio of 6:1 suggesting female predominance for STN. According to age 60% cases were reported in age group 31-40 years, while only 2% in 51-60 years age group. Swelling in neck region was clinical feature in all cases. Right lobe involvement was most common (78%) compared to left lobe (22%). Incidence of malignanacy was 12%. USG turned out to be the most successful technique in diagnosis of STN and there occurrence in Benin and malignant forms, whereas FNAC turned to the most accurate method.
Authors and Affiliations
Surendra A. Bhuyar, Vinod N. Rathod, Tushar M. Dahake
Keywords
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