Thyroid Nodule: A Clinical and Ultrasonograhic Evaluation
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: The thyroid gland is one of the principal endocrine gland of the body with its disease forming a major share of head and neck surgery. FNAC and USG are being used in association with clinical features for diagnosis with surgery being the mainstay of treatment. An attempt has been made in the present study to evaluate the usefulness of clinical features, FNAC and USG in managing thyroid nodule. Materials and Methods: The present study was carried out to evaluate the usefulness of clinical features and ultrasonography in managing thyroid nodules in Assam Medical College and Hospital, Dibrugarh, for a period of one year. Total of 34 patients (>12years) were selected, who had attended Outpatient Department in Assam Medical College with thyroid nodule, examined, investigated, treated surgically and complications if any were managed accordingly. Results: In our study, the sensitivity, specificity, positive predictive value and negative predictive value of FNAC for diagnosing malignancy was 77%, 100%, 100% and 92.59% respectively, whereas ultrasonography showed it to be 66.67%, 92%, 75% and 88.96% respectively. Hemithyroidectomy was the most performed surgery (44.12%). Histopathological finding was taken as the final diagnosis. Conclusion: The USG and FNAC are useful tools in evaluating thyroid nodule along with HPE being taken as the final diagnosis. The malignancy rate was 26.47% which was much higher as the people here are less conscious and present for treatment only when they face problems. Hence, long standing thyroid swelling led to higher malignancy rate.
Authors and Affiliations
Mustafa Abdur Rahman, Mituban Gogoi, Abhinandan Goswami
Keywords
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