Role of USG guided FNAC in case of solitary thyroid nodule
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 9, Issue 2
Abstract
Background: The most common presentation of thyroid carcinoma is solitary thyroid nodule and only 10% of clinically apparent solitary thyroid nodule is cancerous. On investigation, many apparently solitary thyroid nodules will be shown to be part of a multinodular goitre. The solitary thyroid nodule was managed primarily by resection keeping in mind the potential risk of malignancy. But as all solitary thyroid nodules are not malignant, there is always good reason to manage these patients conservatively. Methods: I have studied 20 patients. The patients were taken from the indoor and OPD of the Department of ENT and Head-Neck Surgery, Darbhanga Medical College and Hospital. The period of the study was between June 2017 and May 2018. Results: Formulate a management plan of solitary thyroid nodule on the basis of the report of USG guided FNAC as the prime investigation. This investigation as a routine basis. It was done in those cases where there was a strong suspicion of malignancy on FNAC. We did thyroid scan in total 5 cases and all these cases were found to have could nodules. 4 cases were seen to be malignant. Conclusion: I have particularly given my attention to the clearly benign reports while doing USG guided FNAC. It was a very high accuracy rate and a low false negative report as well. So, USG guided FNAC when done properly by an experienced cytopathologist can reliably formulate the management plan of solitary thyroid nodule.
Authors and Affiliations
Manoj Kumar
Keywords
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- EP ID EP467813
- DOI 10.26611/1016921
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