To Study the Clinical Profile among Different Bethesda Categories of Thyroid Lesions: A Study of 917 Cases
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Background: Fine needle aspiration (FNA) is the primary diagnostic tool in initial evaluation of the thyroid lesions. The New Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) is considered a standard reporting system for categorization of the thyroid lesions in cytology. Aims/Objectives: To correlate the clinical profile of patients of thyroid lesions with different Bethesda categories. Materials and Methods: The study was conducted at department of pathology Government Medical College, Haldwani. It comprised of 917 cases of thyroid lesions, spanning over a period of five years. The clinical findings, history and lab investigations were correlated with the Bethesda categories of thyroid lesions. Results: The age of the patients ranged from 5 to 90 years. Female to male ratio was 6.51:1. Bethesda category II lesions had less specificity with duration of thyroid swelling and presented with any duration, while malignant lesions presented mostly with short duration of swelling (1-6 month). Eye signs were mostly seen in patients with hyperplastic thyroid (Bethesda category II) lesions. Thyroid nodules were mostly seen to involve right lobe (15.59%) of thyroid, while isthmic (3.48%) involvement was least common. Tenderness (4.15%) was mostly associated with thyroiditis (Bethesda category II) cases and was rarely associated with malignant cases. While Bethesda category II, showed all 3 patterns of thyroid profile, Bethesda category III, IV, V & VI were either euthyroid or hyperthyroid and none hypothyroid. Conclusion: Our study concluded that FNAC, if interpreted in conjunction with clinical profile of the patients, could prove useful for the diagnosis and categorization of thyroid lesions
Authors and Affiliations
Usha Joshi
Keywords
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