Thyroid swellings in a rural medical institution of telangana- Our experience
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 8, Issue 2
Abstract
Background: Thyroid enlargement is called goiter. The prevalence of goiter in our country is increasing. It can be diagnosed with investigations like thyroid function tests, ultrasound, fine needle aspiration cytology, histopathology, contrast enhanced computer tomography. This study is about our experience of thyroid cases presented in a rural medical institution of Telangana state of South India. Aims and objectives: 1To clinically identify various thyroid swellings. 2To work out the thyroid swellings by performing thyroid function tests, ultrasound, cytology, computerized tomography scan etc., and arrive at a diagnosis. 3To excise the specimen and conclude the diagnosis by histopathology. 4To subject the reports into a statistical study to get a conclusion on various pathologies. Methodology: A Descriptive study was performed during January 2017 to October 2018, who were operated at the department of ENT of a rural tertiary health care center and were evaluated with histopathological diagnosis and follow up postoperatively. Result: Most of the cases were females and diagnosed as colloid goiter. carcinoma incidence was 8.5 % in our study with papillary carcinoma 6%, follicular carcinoma 2%, follicular adenomas were 19%, nodular goitre with cystic change was 4%, hashimoto’s thyroiditis 8%, thyro-glossal cyst 2%. The largest number of thyroid swellings were colloid goitre with cystic change 57.4 %. conclusion: Thyroid swellings are now commonly encountered in an ENT out patient. A proper protocol has to be followed which includes palpation, thyroid function tests, ultrasound neck, fine needle aspiration cytology which are simple, safe, cost effective modality in diagnosing thyroid disease with high accuracy and specificity in an aim to rule out malignancy thyroid which is important for an ENT, head and neck surgeon.
Authors and Affiliations
Sanjay Kishve P, S B V Chandrasekhar
Keywords
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