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Category: Volume 05 Issue 09 September 2017
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Title: Comparative Study of Solidary Nodules of Thryoid in Adults in Tertiary Care Teaching Hospital

Authors: T. Henry Prabakaran, P. Rajeswari, Arbind Kumar C

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i9.143

Abstract

Introduction: In recent times, prevalence of Thyroid Solitary nodule of thyroid are increasing, common presentation of OP and IP patients f surgical ward.  Solitary nodule of thyroid can exhibit various pathology like benign cyst, colloid nodules, adenoma, thyroiditis and malignant tumour.

Aim and Objective: The aim and objective of this study to find out incidence and prevalence of solidary nodule of thyroid in adult tertiary care teaching hospital. and to study of, various presentation of swelling, huge enlargement produce tracheal compression, pressure symptoms on vital structure in neck,  and  to study the correlative findings of pre FNAC and post-operative histopathology examination and study the intraoperative and post-operative complications.

Material s& Methods: In this study of total of 100 cases were taken, who satisfied the inclusion/ exclusion criteria; of the100 patients who underwent our study. There are 90 females 10 males showing female preponderance (sex ratio m;f 1;10) ,Patient ranging from 19 yrs to 65yrs.

After thorough clinical evaluation, Patients suspected to have thyroid lesions were subjected to FNAC & USG, Histopathology reports were correlated. Treatment planning was done as appropriate depending on clinical findings and investigation results. Patients underwent surgery, post operating complications were recorded. All patients were followed up for a period ranging 1 to 7 months.  

Results and Conclusions: The data collected during study period shows Thyroid Nodules of 58% of 3rd to 4th decades (20 to39 years).  40 to 49 years – which is 22%; FNAC was found to have sensitivity of 86%l Specificity of 91%; Follicular adenoma and carcinoma cannot be differentiated by FNAC, confirmed by biopsy.2 cases of Papillary Carcinoma was diagnosed and confirmed by biopsy. One suspected Papillary Carcinoma was found. This was confirmed in post-operative biopsy. In 3 suspected follicular neoplasm only one patient confirmed positive in biopsy. In USG findings 69 Solitary Nodules of Thyroid, 30 multiple dominant nodules, 1 simple cyst. For most of the Solitary nodules Rt or Lt- Hemithyroidectomy is performed.

Keywords: dominant Nodule, FNAC, clinical data, HPE.

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Corresponding Author

Dr P. Rajeswari

Asst. Professor of Pathology,

IRT-Perundurai Medical College & Hospital, Perundurai, Tamilnadu, India