CLINICOPATPLOGICAL STUDY OF THYROID SWELLING
V. P. Singh, Virendra Kumar*, Pradeep Kumar, S. P. Singh and Anuj Sharma
ABSTRACT
Background: A thyroid enlargement whether diffuses or in the form of nodules have to be investigated to rule out neoplasm. This study was conducted with the aim of clinico- pathological evaluation of thyroid swellings. Aims and objectives: To study clinical presentation of thyroid swellings, incidence of various thyroid swelling, benign versus malignant lesion and to correlate the clinical diagnosis with that of pathological diagnosis. Materials and methods: Clinical details, sonological reports, laboratory reports were retrieved from the records for the 55 patients with thyroid swellings who were included in our study, between october 2016 and September 2018 and the data was analyzed. Cytological smears in all patients and histopathology slides in operated patients were retrieved and studied. Results: Of 55 cases female to male ratio was 9:1. The highest incidence (34.5%) of thyroid swellings were found in age group of 21 to 30 years. Duration of goiter is less than one year in 50.9% of cases. The chief complaint was swelling in front of the neck (100%).Toxic features were present in 12.7% of cases Out of 55 cases 43 patients underwent surgical excision. The histological data from 43 operated cases showed malignancy in 4.6% cases, in rest 95.4% cases goiter was benign. In the present study, we observed that colloid goitre was the overall most commonly encountered pathology while among neoplasm; follicular adenoma was the most commonly observed lesion Conclusions: Thyroid swellings are common in females they occur in 3rd and 4th decade most commonly. FNAC is very useful in the diagnosis. The main indications of surgery are cosmetic problems, pressure effect, and suspicion of malignancy.
Keywords: FNAC, HPE, thyroidectomy, USG.
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