Clinicopathological study of swellings of the thyroid gland with an emphasis on multinodular goitre

Abstract

Many suggest that clinical examination is the best tool to detect the nodules of the thyroid gland. They also suggest that ultrasound of the thyroid gland should be used only to monitor any changes in the size of the nodule of the thyroid. To study swellings of the Thyroid gland with an emphasis on multinodular goitre.The study is prospective, involving all the patients of thyroid swelling. All thyroid swelling cases were subjected to FNAC. The type of thyroidectomy was based on the size and type of thyroid whether neoplastic or non-neoplastic. All the 102 patients were treated by surgeries like hemithyroidectomy, subtotal and total thyroidectomy following FNAC. Majority of the study subjects were in the age group of 20-29 years i.e. 29.5%. In this study most common consistency of thyroid swelling was found to be soft in 61 patients, firm in 22 and hard in 19. Lymph nodes were present in 13 patients (12.75%). 95.1% (97) of patients were euthyroid, four were hypothyroid and one was hyperthyroid. most common FNAC finding was colloid nodule in 61.8% of the cases followed by adenoma in 12.8% of the cases. Most common clinical diagnosis was solitary nodular goitre in 49% of the cases followed by multinodular goitre in 24.5% of the cases. Most common type of surgery performed was Hemithyroidectomy in 50.9% of the cases Most common complication was bleeding which occurred in only three cases. FNAC is a very useful and indispensable test in the diagnosis of thyroid lesions.