Ultrasonography in the evaluation of complex thyroid nodule and correlation with fine needle aspiration cytology
Journal Title: Medpulse International Journal of Radiology - Year 2018, Vol 7, Issue 1
Abstract
Problem Statement: Ultrasonography is a sensitive technique to evaluate the thyroid gland. It can detect clinically impalpable nodules in cases of multinodular goiter. USG was not found very effective in identifying malignant lesions. However, combination of USG and USG guided FNAC is very useful in identifying malignant lesions. It has a positive predictive value of 80%. Methods: This study was conducted on 30 patients with complex thyroid lesions belonging to 15-65 years age group, in the department of Radiodiagnosis, M.G.M. Medical College and L.S.K. Hospital, Kishanganj, Bihar, during the period between April 2016 and February 2017. Clinical presentation, ultrasonography findings, FNAC and histopathological examination findings were documented. The male to female ratio was 5:1 and most cases belong to the age group of 21-40 years. Results: In the present study of 30 cases, female: male ratio is 5:1. 71% of cases belong to the age group of 20-40. Carcinoma was found in patients as young as 28 years and as old as 65 years. 6 out of 8 cases of carcinoma were in female patients (66.6%). In this study 66.6% carcinoma were papillary carcinomas with female being affected in 83.3% of cases. Conclusion: Constellation of sonographic findings can indicate towards a possible malignant process of the thyroid gland. USG guided FNAC allows tissue samples to be taken more accurately and from more suspicious places of the nodule. It is a very useful investigation to predict the nature of small thyroid nodules where FNAC is technically difficult.
Authors and Affiliations
Anshuman Anand
Keywords
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- EP ID EP531655
- DOI 10.26611/1013717
- Views 116
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