Title: Evaluation of Thyroid Swellings by FNAC in Greater Gwalior Region- A Nine Year Retrospective Study
Authors: Dr Reena Jain, Dr Poonam Woike, Dr Lokesh Tripathi, Dr Vidyanand Pandit, Dr Rajesh Gaur
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.24
Abstract
Fine Needle Aspiration Cytology (FNAC) of thyroid has been introduced as the most reliable and cost-effective method for diagnosing of clinically important thyroid disorders. The aim of our study is to demonstrate the effectiveness of FNAC as a simple and cost effective procedure for diagnosis of thyroid lesion, to differentiate between benign and malignant lesions of thyroid and to explore the pattern of distribution of different thyroid lesions in greater our region. Thyroid fine-needle aspiration cytology (FNAC) of 791 patients from January 2006 to December 2014 was evaluated in our center. Only patients which had a solitary or multiple thyroid nodules were selected for FNA. The FNAC results are classified as benign, malignant, suspicious, and unsatisfactory. A total of 791 cases of thyroid swellings were aspirated during the study period of which 761 cases were adequate for reporting. Among the reported cases female outnumbered the male patients and ratio came out to be 5.7:1 and maximum thyroid lesions were in age group 21-40 yrs. Colloid goiter was prevalent among all age groups whereas anaplastic carcinoma was diagnosed in age group >50 yrs. Majority of cases reported on cytology were non neoplastic. FNA is a sensitive, specific, accurate initial diagnostic test for pre operative evaluation of patients with thyroid swellings, it’s an invasive safe, quick and easily performed procedure and should be promoted by clinicians as primary modality in the evaluation of thyroid lesions
Key words: FNAC; Thyroid lesions; Accurate.
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