Abstract
Objective:(1) Study was done to evaluate sonomorphological characteristics of thyroid swelling.
(2) To correlate USG findings in various thyroid swelling with cytology/ HPE.
Materials: A hospital based cross sectional study of 80 patients were conducted over a period of 1 year from 1st Aug 2008 to 31st July 2009.
All the patients are subjected to gray scale USG of thyroid followed by color Doppler study. The examination were done by using 12 MHz linear Probe and 5MHz curvilinear probe.
Results: Out of 80 patients 32 (4%) were clinically thought to have solitary nodule. USG was confirmatory 20 (25%) cases. Multiple nodules were detected 12(15%) cases. USG consistency of the lesion- solid -60(80%), cystic- 8(10%), Mixed- 8-10%. USG echopatterns- hyperechoic- 46,(75%), hypoechoic- 24(30%) iso-echoic- 2(2.5%) cases. Margin of lesion- well defined- 72(90%), illdefined- 8(10%) cases. Doppler.. pattern- Peripherial flow- 36(45%) cases. Thyroid infernos- (PSV > 70cms/s) – 4 (5%) cases.
Conclusion: USG is fast, safe, cost effective imaging procedure for thyroid swelling. It can differentiate cystic and solid lesion. Multinodularity of the gland can be detected by using high resolution ultrasound. USG combined with FNAC is a reliable method for study of thyroid swelling.
Keyword : USG, Doppler, FNAC, Thyroid Swelling
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Corresponding Author
Dr Krishna Kumar Borah
MD, Assoc Prof TMCH (Formerly AMCH) Radio Diagnosis
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