A Comparative Study of Clinical, Ultrasound and Aspiration Cytology Studies in Diagnosing Carcinoma of Thyroid
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Background and Objectives: Although fine-needle aspiration cytology (FNAC) is considered to be the reference method for evaluating thyroid nodules, the results are often inaccurate in approximately 10-30% of cases. In many cases the preoperative clinical evaluation (CE), FNAC and ultrasound (US) evaluation fail to diagnose a case of thyroid cancer and may require a second surgery for completion Thyroidectomy. This review aims to compare the clinical, ultrasound, and fine needle aspiration methods that can be used for thyroid nodule management. Methods: All cases who were admitted in the department of general surgery with thyroid swellings planned for surgery over one and half years were studied and followed up. Patients who were detected to have malignancy histopathologically in the post operative specimen were assessed. The clinical, ultrasound and aspiration cytology studies of these patients were evaluated and compared. Results and Discussion: Out of the 372 patients 113(30.38%) were diagnosed as thyroid carcinoma histopathologically (p less than .001). Clinical evaluation (CE) detected 69(61.06%) out of 113 patients. US detected 81(71.78%) and FNAC studies detected 88(77.88%). Conclusion: Among the three methods FNAC detected the maximum number of carcinoma thyroid and proved to be most effective in preoperative diagnosis and the results of fine needle aspiration cytology cannot completely rule out the presence of malignancy in thyroid swellings.
Authors and Affiliations
Nidhin Skariah, Abdul Siyad AK
Keywords
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- EP ID EP595535
- DOI 10.9790/0853-1604093844.
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