Clinicopathological study of thyroid swellings

Abstract

<p class="abstract"><strong>Background:</strong> Diseases of the thyroid continue to be a common clinical problem having a prevalence rate of 4 to 7% in the general population.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted in the Department of ENT, Head and Neck Surgery, SMGS Hospital, Jammu from January 2018 to January 2020. A thorough history taking, meticulous clinical examination, routine hematological and biochemical investigations were done in all the patients. General examination of the patient was done and looked for thyroid functional abnormality followed by local examination was carried out to locate and identify the site of the swelling, shape, size and consistency of the thyroid swelling and clinical diagnosis was made. All thyroid swelling cases were subjected to fine needle aspiration cytology (FNAC). The type of thyroidectomy is based on the size and type of thyroid whether neoplastic or non-neoplastic. All the specimens were sent for histopathological examination. </p><p class="abstract"><strong>Results:</strong> Out of 60 patients in the study, 56 were females and only 4 were males. The most common age group was 31 to 40 years seen in 24 (40%) patients. The most common presenting symptom was swelling in the neck seen in 58 (96.67%) patients. The most common diagnosis on FNAC was colloid goiter seen in 40 (66.67%) patients. The most common was benign nodular colloid goiter seen in 35 (58.33%) patients.</p><p class="abstract"><strong>Conclusions:</strong> Fine needle aspiration is a very useful and indispensible test in the diagnosis of thyroid lesions.</p>

Cytological evaluation of thyroid swellings Govt. Medical College, Kathua: Two year study

“…The malignant diseases in the study were 3.9% which is comparable to the study by Jaiswal et al, 2020 [3] and Gupta et al, 2020 [14] having 5.23% and 5% malignant cases. However, Chavan et al, 2016 [9] reported lower prevalence of malignant cases while Sengupta et al, 2011 [5] revealed higher number of cases of 9.55%.…”

“…The previous studies by Gupta et al, 2020 [14] , Likhar et al, 2013 [14] and Prasad et al, 2020 [10] also showed comparable results. The study done by Gupta et al, 2020 [14] done on 60 patients revealed that 66.67% patients were diagnosed with colloid goiter and 3.33% patients with thyroiditis as benign category.…”

“…The previous studies by Gupta et al, 2020 [14] , Likhar et al, 2013 [14] and Prasad et al, 2020 [10] also showed comparable results. The study done by Gupta et al, 2020 [14] done on 60 patients revealed that 66.67% patients were diagnosed with colloid goiter and 3.33% patients with thyroiditis as benign category. Colloid nodule comprised about 76.88% patients while only 10.41% cases were diagnosed as thyroiditis in a study done by Likhar et al, 2013 [11] , thus showing that benign follicular nodule was most common benign thyroid lesion.…”

“…Benign Malignant Present study 90.7% 3.9% Likhar LS et al 2013 [14] 94.4% 6.0% Jaiswal YP et al 2020 [3] 71.74% 5.23% Prasad PR et al 2020 [10] 70.0% 7.0% Colloid nodule was the most common benign disease diagnosed followed by autoimmune thyroiditis in our study.…”

Demographic study of endocrine tumours in northwestern India: a five-year retrospective chart review analysis of 3081 thyroid and other endocrine lesions from Jaipur, Rajasthan

“…Acharya et al (2019) also had similar distribution of benign and malignant thyroid lesions with 77 cases of 87 studied cases found to be benign in nature (88.5%). Rates of thyroid malignancies in various other studies were 6%, 11.8%, 20%, 20% and 22%, respectively (Dorairajan et al, 1996;Rout et al, 2011;Kapoor et al, 2018;Gupta et al, 2020;Sarangi et al, 2021).…”