Title: Fine Needle Aspiration Cytology (FNAC) is the Excellent Diagnostic Procedures for Thyroid Lumps
Authors: Dr Mahendra Singh, Dr R.N.P. Sinha
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.86
Abstract
Objective: The present study was undertaken to evaluate the efficiency and prospect of fine needle aspiration cytology (FNAC) of thyroid swelling.
Materials and Methods: A total of 74 patients in between 15 to 65 years of age, both male and female were included in the study.
Results: 67.5% patients are belonged to 31-50 years of age and sex ratio were 3.93:1. On cytological examination 54 (72.97%) patients had non malignant cells or benign goitre, hyperplastic cells were seen in 13(17.56%) cases, Out of which Follicular adenoma in 3 patients, 3 cases showed malignant cells. Out of 3 cases 2 showed follicular carcinoma patterns and 1 showed feature of papillary carcinoma. In 2 patients hashimoto thyroiditis was noticed and in 1 cases De Quervain thyroiditis was seen. All patients with cytological smears of non-neoplastic, were found to have colloid goitre on H.P.E. Out of 13 cases with hyperplastic cells on cytological evaluation, HPE showed colloid goitre in 5 cases. The diagnostic yields of FNAC was 94.59% and accuracy was 83.34%.
Conclusion: The technique has shown to provide with reliable, rapid and inexpensive method of diagnosis. In most instances, no hospitalization or anaesthesia was required for this procedure.
Keywords: FNAC, Thyroid swelling, Goitre, Smear.
