Role of FNAC in diagnosis and management of multi nodular goitre
Journal Title: Medpulse International Journal of ENT - Year 2017, Vol 1, Issue 2
Abstract
Problem statement: FNAC is a safe and fairly accurate method in diagnosis and management of multi nodular goitre. It is also used for establishing whether MNG is a benign or malignant. Surgery can be avoided in many patients with benign disease. Complications of FNAC are negligible and patient acceptance is high. Enlargement of the thyroid gland is the most common manifestation of the thyroid disease. The enlargement may be either generalized or localized, which again may be, toxic or nontoxic. Nodular goiters are more common in women than in men and the modularity increases with increasing age. Multi nodular goitre can become malignant but it is rare. Methods: Present study consists of patients admitted with nodular thyroid swelling from Nov 2015 to Oct 2016 at Dept. ENT and Head Neck surgery of Darbhanga Medical College and Hospital Total 25 patients were admitted and treated during this period. X-ray of neck, AP and lateral views and X-ray of the chest were done in all the cases. Results: Clinical examinations were subjected for relevant investigations, taken up for surgery with prior FNAC. Carcinoma, were not evident. Total number of 25 cases studied, 5 were males (20 %) and 20 were females (80%) with a female to male ratio of 4: l. FNAC of the thyroid was done in all the cases and the results compared with histopathological report of operated specimen. Conclusion: The main indications of surgery in MNG are cosmetic problem, pressure effect symptoms, secondary thyrotoxicosis and suspicion of malignancy. Subtotal thyroidectomy is the surgery of choice for MNG. But a trend towards total thyroidectomy is replacing subtotal thyroidectomy in the management of MNG as recurrence of goiter is avoided.
Authors and Affiliations
Rizwan Ahmad, B K Roy
Keywords
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