Abstract
Objective: Fine Needle Aspiration Cytology (FNAC) is the most common modality for the diagnosis of thyroid lump or nodule. Present study was undertaken to evaluate the benign or malignant Pathology of thyroid swelling by the help of FNAC, of Patient attending in our hospital.
Material and Method: A total of 124 patients with midline neck swelling were send to our Department for Fine Needle Aspiration Cytology, from ENT OPD or IPD. After detailed history and clinical examination, FNAC was done under full aseptic precaution and 4-5 slides were prepared. After fixation, slides were stained with Giemsa and papanicolau stain and seen under low to high power magnification.
Result: Out of 124 patients, 110 (88.7%) were female and 14 (11.3%) patient were male. Female to male ratio was 7.85:1. 91 (82.72%) female were belongs to 31-50 year of age. Out of 124 cytological smear findings, 102 (82.25%) were benign in nature. Out of 102 smear which was benign or normal cellular morphology, 58 (56.86%) cases were diagnosed as nodular colloid goiter, 11 (10.78%) patients smear shows features of benign cystic lesion, 32 (31.37) patient were having simple colloid goiter and 1 (0.98%) patient showing hyper plastic thyroid nodular features. 20(16.12%) patients were suspicious because of presence of cellular atypia, while 2(1.61%) patients were malignant in nature.
Conclusion: Fine needle aspiration is on inexpensive and outdoor procedure. It can be performed under clinical setting and economy of the patients in our country. Moreover, there always a need to simplify the surgical procedure and to ensure that it should be done in the most effective manner, Particularly in India.
Keywords: FNAC, Thyroid, Malignant, Pap Smear, Stain.
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Corresponding Author
Dr Uday Shanker Pandey
Associate Professor, Department of Pathology, Patna Medical College, Patna
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.158
