THE STUDY OF CLINICAL PRESENTATION OF SOLITARY NODULE THYROID
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 58
Abstract
BACKGROUND Thyroid disorders are the most common endocrine disorder seen in clinical practice and solitary thyroid nodule is one of the common presentations of thyroid disease. A discrete swelling in an otherwise impalpable gland is termed isolated or solitary nodule of thyroid.1 The prevalence of thyroid nodule increases from near zero at 15 years to 50% by about 60 to 65 years on sonography. At most 10% of these nodules are palpable even by experienced clinicians. This study is about the clinical presentation, histopathology and management of solitary nodule thyroid in MGM GH Tiruchirappalli. AIMS AND OBJECTIVES- To determine the age and sex incidence among the cases of solitary nodule thyroid. To study the percentage of euthyroid, hypothyroid or hyperthyroid state in patients presenting with solitary nodule thyroid. To study the proportion of malignant and benign cases among the solitary nodule thyroid at M.G.M. Govt. Hospital, Tiruchirappalli. MATERIALS AND METHODS This study includes 58 cases of solitary nodule of thyroid noted during the period Jan 2016-Dec 2016. Factors were tabulated and analysed statistically. RESULTS From the present study, the mean age at presentation found to be 42.5 years with preponderance to females. Because of periods of fluctuations in the demands of the hormonal requirement in female in their life cycle (puberty, menstrual cycles, pregnancy, menopause), the chances of thyroid nodule formation are very high as compared with male counterparts. From the study, distribution of malignancy is about 10.34. The incidence of malignancy found to be 12%, sensitivity is 87.5%, specificity is 100% for FNAC and HPE. CONCLUSION Majority of the patients are between 30-49 years of age. Incidence of solitary thyroid nodule is more common in female. Female: male ratio is almost about 15:1 Commonest symptom is swelling over anterior or lateral aspect of neck Among the benign lesion dominant nodule is most common and papillary and follicular carcinoma are common in malignant lesion.
Authors and Affiliations
Lakshmikanthan Premalatha, Natarajan Priya, Dhanashekaran Uma, Duraisamy Sivakumar
OCULAR MANIFESTATIONS IN SYSTEMIC LUPUS ERYTHEMATUSU
BACKGROUND: Systemic Lupus Erythematosus is one of the common autoimmune diseases seen in young patients, predominantly affecting females. OBJECTIVES: The purpose of this prospective study is to determine ocular presenta...
STUDY OF NEUTROPHIL NUCLEAR LOBULATIONS ON PERIPHERAL BLOOD SMEARS AND DISTINGUISHING THE BILOBED NEUTROPHILS FROM PELGER HUET CELLS
BACKGROUND Myeloid cells in the peripheral blood are classified into neutrophils, eosinophils and basophils depending on the staining characteristics of the cytoplasmic granules.1 Neutrophils are lobulated granulocytes....
A PROSPECTIVE STUDY ON POSTOPERATIVE PAIN MANAGEMENT OF PATIENTS UNDERGOING ELECTIVE SURGERIES IN SOUTHERN ODISHA
BACKGROUND This is a prospective, descriptive study. The objectives of this study were- 1) to gain comprehensive Knowledge of patient pain experiences and 2) to formulate strategy for effective and optimal pain managemen...
ROLE OF INTRANASAL STEROIDAL SPRAY IN SEASONAL ALLERGIC RHINITIS WITH OCULAR SYMPTOMS
BACKGROUND The eye is especially susceptible to the symptoms of allergic rhinitis, itching (pruritus), tearing (epiphora) and redness (erythema) because it lacks a mechanical barrier that could prevent the deposition of...
IMPACT OF HAEMOGLOBIN LEVELS ON OUTCOMES IN ACUTE CORONARY SYNDROME
BACKGROUND It is observed that anaemia is a common problem in patients hospitalised for acute coronary syndromes. There have been reports in worldwide studies of an association between anaemia and poor prognosis in patie...