Cytoradiological Analysis of Thyroid Lesions: A Clinical Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Introduction: Thyroid nodules are common in the general population. Managing patients with thyroid nodules can be challenging. Patients harboring malignancies require surgical intervention which is challenged by anesthesia, size, age, etc., and therefore an accurate preoperative diagnosis is paramount. Hence, FNA was introduced as an effective means to evaluate the thyroid nodule. Materials and Methods: Hundred patients attending the thyroid clinic at INMAS hospital were included in the study. The medical records of these cases were reviewed to identify the demographics of the patients and the indication for FNA. Thyroid status and complete blood counts were also obtained in addition to the ultrasound findings. Results: There were 92 females and 8 males with an age range of 5-80 yr. Indications for FNA included abnormal neck physical examination, abnormal radiographic findings, and symptoms of thyrotoxicosis or compression. Of the 100 FNAs, 6 had a cytologic diagnosis of carcinoma (with 2 papillary carcinoma), 5 ‘‘suspicious’’ for carcinoma, neoplasm, or atypia, 81 were benign with a diagnosis of colloid goiter, nodular colloid goiter and cystic change in colloid goiter, 7 had lymphocytic thyroiditis and 2 had granulomatous inflammation. Conclusion: The performance characteristics, low cost, and low complication rate support the use of FNA as a screening tool to identify these malignancies. However, the combination of various diagnostic modalities, instead of a single modality, will give optimal results and better patient management.
Authors and Affiliations
Arun Chaudhary, Vandana Baloda
Keywords
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