Abstract

Aims and Objective: Evaluation of Solitary thyroid nodule to differentiate benign from malignant lesion and establish correlation between USG, FNAC and Histopathological examination (HPE).

Materials and Methods: Study design: It is a prospective study of patients admitted in ENT department of Civil Hospital Ahmadabad for solitary thyroid nodule from August 2018 to October 2019.

Study Tools: A total 102 patients were evaluated. Help was taken from radiology department for USG neck screening and also from pathology department where FNAC and HPE findings are correlated.

Observation and Results: Out of 21 cases diagnosed as malignant on ultrasound, 18 were confirmed as malignant on FNAC, 3 were found to be benign. So, correlation between USG and FNAC is 85.7%.

Out of 21 cases diagnosed as malignant on ultrasound, 16 were confirmed as malignant by HPE, rest were found to be benign. So, correlation between USG and HPE is 76.1%.

Out of 18 cases diagnosed as malignant on FNAC, 16 were confirmed by histopathology postoperatively. So, correlation between FNAC AND HPE is 88.8%.

Conclusion: In our study correlation between USG and FNAC was 85.7%. Correlation between FNAC and HPE is 88%. Fine-needle aspiration cytology is recommended to be a cost-effective procedure in the initial assessment and management of thyroid nodules [3,6].

Detecting malignancy preoperatively allows total thyroidectomy in a single operation without the need of removal of remnant thyroid in second surgery.

Keywords: Solitary Thyroid Nodule; Benign; Malignant; USG; HPE; FNAC

References

1. "New York Thyroid Center: Thyroid Nodules" (2010).
2. Hegedus L. “The thyroid nodule”. New England Journal of Medicine 351 (2004): 1764-1771.
3. Tai JD., et al. “Risk factors for malignancy in patients with solitary thyroid nodules and their impact on the management”. Journal of Cancer Research and Therapeutics 3 (2012): 379-383.
4. Harrison BJ., et al. “Disorders of thyroid gland”. In: Cuschieri A, Moossa AR, editors. Essential Surgical Practice. 4^th London: Arnold (2002): 95-110.
5. Mazzaferri EL. “Management of a solitary thyroid nodule”. New England Journal of Medicine 8 (1993): 553-559.
6. Iqbal M., et al. “Carcinoma thyroid in multi and uninodular goiter”. Journal of the College of Physicians and Surgeons Pakistan 5 (2010): 310-312.

Citation

Citation: Sourav Banerjee., et al. “Evaluation and Study of Solitary Thyroid Nodule in 102 Cases". Acta Scientific Otolaryngology 2.7 (2020): 04-06.

Copyright

Copyright: © 2020 Sourav Banerjee., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.