A CLINICAL STUDY ABOUT INCIDENCE OF OCCULT MALIGNANCY IN LONGSTANDING MULTINODULAR GOITRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Goitre is one of the common features of thyroid disease presentation. Most of the thyroid nodules were found accidentally by Ultrasound and clinical evaluation. Historically chances of malignancy in Multinodular Goitre was very low compared to solitary nodular goitre. The objective of this study is to determine the incidence of occult malignancy in longstanding MNG. MATERIALS AND METHODS This is a prospective, observational study conducted from May 2015 - August 2017 by Department of Surgical Oncology, Father Muller Medical College Hospital, Mangalore. All the goitre patients were examined clinically and sonographically. The patient was offered surgery based on suspicious findings in Sonography and FNAC. Post-operative specimens were subjected to histopathological examination to find out the incidence and the types various malignancies. RESULTS Among 60 MNG cases, 8 cases (13%) showed malignant foci. Most common type of malignancy observed was Papillary carcinoma (75%). CONCLUSION Risk of malignancy is quite significant in longstanding Multinodular goitre. All the patients with Multinodular goitre need proper evaluation, adequate surgery and thorough histopathological evaluation.
Authors and Affiliations
Gopinathan Sivasankaran, Deepika Deepika, Gautam Gautam
Keywords
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- EP ID EP278287
- DOI 10.14260/jemds/2017/1392
- Views 100
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