Thyroid Nodule: A Clinical and Ultrasonograhic Evaluation
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: The thyroid gland is one of the principal endocrine gland of the body with its disease forming a major share of head and neck surgery. FNAC and USG are being used in association with clinical features for diagnosis with surgery being the mainstay of treatment. An attempt has been made in the present study to evaluate the usefulness of clinical features, FNAC and USG in managing thyroid nodule. Materials and Methods: The present study was carried out to evaluate the usefulness of clinical features and ultrasonography in managing thyroid nodules in Assam Medical College and Hospital, Dibrugarh, for a period of one year. Total of 34 patients (>12years) were selected, who had attended Outpatient Department in Assam Medical College with thyroid nodule, examined, investigated, treated surgically and complications if any were managed accordingly. Results: In our study, the sensitivity, specificity, positive predictive value and negative predictive value of FNAC for diagnosing malignancy was 77%, 100%, 100% and 92.59% respectively, whereas ultrasonography showed it to be 66.67%, 92%, 75% and 88.96% respectively. Hemithyroidectomy was the most performed surgery (44.12%). Histopathological finding was taken as the final diagnosis. Conclusion: The USG and FNAC are useful tools in evaluating thyroid nodule along with HPE being taken as the final diagnosis. The malignancy rate was 26.47% which was much higher as the people here are less conscious and present for treatment only when they face problems. Hence, long standing thyroid swelling led to higher malignancy rate.
Authors and Affiliations
Mustafa Abdur Rahman, Mituban Gogoi, Abhinandan Goswami
Keywords
Related Articles
- EP ID EP427221
- DOI -
- Views 101
- Downloads 0
Ultrasound, MRI and Arthroscopic Correlation of Rotator Cuff Tears
Introduction: Rotator cuff tears are amongst the most frequently encountered problems in the shoulder joint. Clinical assessment has limited role and radiological imaging is necessary for confirmation of diagnosis and gu...
Genitourinary Fistulas – Our Experience
Introduction: Urogenital fistula is a physically, socially and psychologically devastating condition. Although advances occurred in the understanding of etiology, pathogenesis, diagnosis, and management, it still poses c...
A Study on the Utility of Nerve Conduction Studies in the Diagnosis of Subclinical Diabetic Peripheral Neuropathy
Introduction: Peripheral neuropathy is the commonest incapacitating complication of diabetes mellitus. Many of the patients are asymptomatic for neuropathy thus developing diabetic foot and ulceration, ultimately leading...
Heart Failure with Preserved Ejection Fraction: A Study of Clinical Profile in Indian Patients
Introduction: Heart failure is growing epidemic condition and nearly half of the patients have preserved ejection fraction (EF>50%).However, study regarding prevalence, and etiologies of diastolic heart failure are spars...
Estimation of Proteinuria in Type 2 Diabetes Mellitus: Is Spot Urine Protein-Creatinine Ratio as Efficacious as 24 Hours Urinary Protein
Introduction: Diabetic nephropathy is a leading cause of morbidity and mortality in patients with diabetes mellitus. This study aims to compare the efficacy of spot urine protein creatinine ratio (PCR) with 24 hours urin...