SOLITARY THYROID NODULE- INCIDENCE AND HISTOPATHOLOGY- A 3-YEAR STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 88
Abstract
BACKGROUND Thyroid diseases are common all over the world. The finding of a solitary thyroid nodule (STN) on clinical examination of the thyroid is a common experience by the surgeons. A variety of benign and malignant lesions can present as a solitary nodule. Thyroid cancer is the most common malignancy arising in the endocrine system. This study is undertaken to evaluate the various thyroid lesions, which can present clinically as solitary nodule. There is a high risk of malignancy in STN than in multiple nodules. STN evaluation, diagnosis and management should be done in a systematic manner. Study Design- Descriptive study. MATERIALS AND METHODS This study was a descriptive study. The evaluation of the thyroid lesions presented as solitary nodule were done at the Department of Pathology, Govt. Medical College, Kottayam. Data regarding thyroidectomy specimens were obtained from the registers and requisition forms received in the department. Formalin fixed paraffin embedded tissue sections were used for Haematoxylin and Eosin (H and E) staining. H and E stained sections were evaluated histopathologically using light microscope. Data were recorded accordingly. RESULTS Among the 32,009 biopsy specimens received in the department during the 3-year period, 1054 were thyroidectomies; 22% of the thyroidectomy specimens were solitary nodules. Maximum numbers of solitary nodules were seen in the 4th decade. Female constituted 78.1% of cases and the most common malignant lesion among the STN were papillary carcinomas. CONCLUSION The evaluation of a solitary nodule is a challenging area for the clinicians and pathologist. Varied lesions can present as thyroid nodule. Meticulous sampling and evaluation is needed for accurate diagnosis. The prognosis in general depends on the exact histopathological diagnosis and followup of all cases of thyroid diseases, especially solitary nodules.
Authors and Affiliations
Sheela Varghese, Letha Vilasiniamma
Keywords
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- EP ID EP277916
- DOI 10.14260/jemds/2017/1336
- Views 87
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