Cytomorphology of Thyroid Lesions in a Sub Himalayan Tertiary Hospital after More Than Two Decades of Iodization
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: Thyroid disorders are one of the commonest endocrinal disorders in the general population. They present with palpable swelling/nodule or may be non-palpable. In the Himalayan goitre belt it is been more than two decades since the Indian Government launched the iodization program in 1986 with the goal of eradicating goitre and Iodine deficient disorders (IDD). In the present study we reviewed 1738 thyroid aspirations performed over a decade .The Bethesda system for reporting thyroid cytology (TBSRTC) was used for categorizing the aspirates. Results showed 76.75% cases in category 2 of Bethesda system. Out of these 69.49% (n= 927) were benign nodules, 29.68% (n=396) were of autoimmune thyroiditis. Out of 927 cases of benign nodule, 62 cases had co-existing thyroiditis. The results clearly show that goitre has not been eradicated contrary to the expectations of the government. FNAC is a cost effective & simple investigation for diagnosing thyroid lesions. Iodine may not be the sole factor in the pathophysiology of goitre. Other goitrogenous food may have a part to play in it. Iodine supplementation as a prophylactic measure for goitre has its own demerits. The substantial number of cases of thyroiditis that emerged in our study clearly indicates that a thorough research regarding any anticipated detrimental side effects must be carried out prior to the implementation for such programs to achieve maximum benefits for the targeted population. Keywords:Goitre, Iodinization, Thyroiditis.
Authors and Affiliations
Prerena Tamta, Ghazala Rizvi, Ankit Kaushik
Keywords
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