Clinical Study of Incidence of Malignancy in Solitary Nodule of Thyroid
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Solitary nodule of thyroid has increased in incidence in the present day as compared to two decades before. Because of possibility of malignancy, some clinicians especially those in surgical subspecialties recommended that all nodules have to be removed. Aim: The aim of the study to determine the incidence of solitary nodule thyroid in relation to age and sex and to determine the incidence of solitary nodule of thyroid turning out to be malignancy. Materials and Methods: Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations, operative findings, histopathological report, and follow-up of cases. Results: About, 50 cases selected by Random Sampling Technique, incidence of solitary nodule were observed in 3rd to 5th decade, constituting 60% of the cases studied. 36% of all clinically solitary nodules turned out to be multinodular goiter. The common causes of solitary nodule was multinodular goiter (MNG) (36%), follicular adenoma (22%), adenomatous goiter (24%). 94% of cases presented with euthyroid state. Incidence of malignancy in solitary thyroid nodule was 12%. Conclusion: Solitary nodule of thyroid is more common in 3rd to 5th decades. Solitary nodules of thyroid are more common in females. Most of the patients presenting with solitary nodule of thyroid are euthyroid and only a small percentage of patient with toxicity or hypothyroidism ultrasonography can be accurately used to detect patients with MNG who clinically present as solitary nodule of thyroid.
Authors and Affiliations
J Rakesh Fernando, S Edwin Kins Raj, A Mohan Kumar, Heber Anandan
Keywords
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