Value and Diagnostic Accuracy of Fine Needle Aspiration Cytology in Thyroid Lesions.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 2
Abstract
Background: Thyroid enlargement is a common problem and causes various pressure symptoms. Majority of swellings does not require surgery. Fine needle aspiration cytology (FNAC) is considered the gold standard diagnostic test in the evaluation of thyroid swellings. In the present study we correlated the FNAC findings with histopathology so that rate of unnecessary thyroidectomise in benign pathologies could be avoided. Method: The present study is a prospective analysis of 50 cases of thyroid swellings which were done over a period of 1 years from August 2017 to July 2018. These cases were underwent FNAC followed by surgery. Correlation of histopathological findings was performed with FNAC. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were calculated. Results: After comparison of results of FNAC with histopathology, FNAC showed overall diagnostic accuracy of 96.00 % with specificity of 96.00% , sensitivity of 100.00% for all lesions, positive predictive value of 100.00% for all lesions and negative predictive value of 83.36% in our study. Conclusion: FNAC is a sensitive, specific, accurate, cost effective and minimally invasive diagnostic test for evaluation and management for thyroid lesions. It can be used in differentiating lesions that require surgery from those can be manage conservatively.
Authors and Affiliations
Sandeep Kumar Sarawagi
Keywords
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