Title: Clinico-Pathological Correlation of Thyroid Swellings
Authors: Dr Trupti Tonape, Dr Virendra S. Athavale, Dr Iresh Shetty, Dr Aditya Lad, Dr Gaurav Batra, Dr Ishant Rege, Dr Akriti Tulsian
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.18
Aims and Objectives: To elucidate the clinical presentation of thyroid swelling and to assess the Clinico – Pathological correlation of thyroid swellings. Materials and Methods: A prospective observational study was conducted on 35 patients who were admitted with thyroid swelling at our institute, over a duration of one year. Result: 1) Mainly all patients presented with swelling (100%); 2) Status of the gland was evident that 15 (42.85%) cases were clinically diagnosed as solitary thyroid nodule; 3) FNAC showed 14 (40%) cases were having colloid goiter and 4) 12 (34.28%) cases reported as a colloid goiter on Histo-pathological examination (HPE). Conclusion: The commonest presentation was swelling in the neck and maximum patients presented as solitary thyroid nodules with 85% cases being euthyroid. We also noted that FNAC is a safe and simple technique of preoperative diagnosis with a sensitivity rate was 86% with a specificity rate of 75%. Our results also showed a PPV of 88.3% and a NPV of 73.1%. and also that histopathological studies confirmed the preponderance of colloid goitre. 1. Ananathkrishnan N., KotiMadhavaRao, et al.The single thyroid nodule – a South Indian profile of 503 patients with special reference to incidence of Malignancy. Indian Journal of Surgery (1993), 55(10), 487-92. 2. Vittal S. et al.Thyroid surgery – Indian experience.Indian Journal of Surgery (1993) 55 (4-5), 183-187. 3. Kaplan Edwin.Principles of Surgery ed. By Schwartz, Schires and Spences, 5th ed. 1988, 1611-1612. 4. Amesur N.R. et al. Thyroid swelling – a review of 74 consecutive cases of thyroids, with special reference to its incidence, malignancy and post-operative complications. Indian Journal of Surgery, 25, 1963, (621-633) 5. Jain S, Nayak R, Totade S, Shukla N. Clinico - Pathological Correlation of Thyroid Swellings. International Journal of Medical Research and Review, December 2014 Vol 2(6), 553-560 6. Bhansali S.K.Surgery of thyroid gland : The state of art. Indian Journal of Surgery, May 1985, 217-227.Abstract