FINE-NEEDLE ASPIRATION CYTOLOGY OF THYROID NODULES: STUDY OF 100 CASES IN GAJRA RAJA MEDICAL COLLEGE GWALIOR (M.P.)

Dr.Vidyanand Pandit; Dr.Atul Kumar Pandey; Dr.Rajesh Gaur

Volume : V, Issue : V, May - 2016

FINE-NEEDLE ASPIRATION CYTOLOGY OF THYROID NODULES: STUDY OF 100 CASES IN GAJRA RAJA MEDICAL COLLEGE GWALIOR (M.P.)

Dr. Vidyanand Pandit, Dr. Atul Kumar Pandey, Dr. Rajesh Gaur

Abstract :

BACKGROUND: Thyroid nodules are common and the principal method of diagnosis is fine-needle aspiration cytology (FNAC). METHODS: To determine the value of FNAC in the diagnosis of thyroid nodules, thyroid cytology of 100 patients were observed from 01/07/2014 to 30/06/2015. FNAC was related with age,sex , benign and malignant pathology likelihood ratios were calculated. The method of FNAC and number of non-diagnostic aspirates were noted. The frequency of thyroid cancer was investigated in male and females who presented with thyroid nodule. RESULTS: Out of 100 cases 74 were benign while 03 are malignant and 10 cases of inflammatory pathology. overall sensitivity of FNAC detecting thyroid neoplasia was 55.0%, specificity 73.7% and accuracy 67.2%.There were no false positive ‘malignant‘ FNAC. CONCLUSIONS: FNAC was essential to management in this series of patients. ‘Malignant‘ or ‘suspicious for malignancy‘ cytology are absolute indicators for thyroidectomy. FNAC should be undertaken with ultrasound guidance and if possible with a pathologist in attendance to assess sample adequacy. We recommend a high index of suspicion of thyroid cancer in the male patient who presents with a solitary nodule. If solitary nodules are to be observed, repeat FNAC should be undertaken because of the high false negative rate.