A Clinicopathological Study and the Incidence of Malignancy In A Solitary Thyroid Nodule
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background Solitary thyroid lesions are a common presentation in the surgical OPD. The significance of solitary nodule is of its malignant potential. Over all the reported rate of malignancy is 8-12%, even increasing further up to 18 to 20%. Early diagnosis and prompt treatment cures the patient since thyroid carcinoma is most curable among all cancers. Methods We reviewed a total of 245 cases with thyroid lesions from medical records of our hospital that underwent appropriate treatment from January 2012- December 2017. Out of these 245 cases 97 cases were diagnosed as solitary thyroid nodule (STN). Apart from routine investigations, thyroid functional status was assessed. All the patients underwent USG, FNAC of the nodule preoperatively. Hemi-thyroidectomy and /or total thyroidectomy was done and modified radical neck dissection was done wherever it was indicated. Results: Out of the total 97 STN patients 16 were males, 81 were females. Right lobe was more commonly involved than the left lobe. 11 cases reported as malignant, out of these, 3 were males, 8 were females. 7 cases reported as papillary carcinoma and 4 follicular thyroid carcinoma. Conclusion: Solitary nodule is viewed with suspicion because of its malignant potential and needs thorough evaluation and proper treatment to achieve good survival rate. In our case, the incidence of malignancy is found as11.34%, however the reported rate of malignancy is variable from region to region.
Authors and Affiliations
Kalidindi Pardhasaradhi, M. Vijayalakshmi . , Shekar Y. Tati, Vasanth Rao Gattu3 ,, Satyendra Ramnadh G, V. Krishna Kumar 5
Keywords
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- EP ID EP363534
- DOI 10.9790/0853-1702114548
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