ANALYSIS OF THYROID SWELLINGS BY ASPIRATION CYTOLOGY, OUR EXPERIENCE IN TERTIARY CARE HOSPITAL, SOUTH TAMIL NADU

Volume : VIII, Issue : V, May - 2018

Dr. K. Mahalakshmi, Dr. V. Bagiyalakshmi, Prof. Dr. K. Shantaraman

BACKGROUND:

Thyroid disorders are widespread endocrine problems worldwide (1).FNAC is a useful diagnostic modality in the

evaluation of thyroid lesions. It is a simple, cost effective, readily repeated and easy to perform procedure in the outpatient department with good

patient compliance.

AIMS AND OBJECTIVES: The aim of present study was to assess the proportion of various thyroid disorders on patients attending a tertiary

care centre and the role of FNAC in the diagnosis of thyroid lesions

MATERIALS AND METHODS: This is a retrospective study done on the review of the case records of 1181 patients who underwent FNAC in

the pathology department for a period of 2 years.

RESULTS: We found that out of the 6203 FNAC‘S done during the 2 years study 1181 cases were thyroid lesions (19.04%).out of the 1181 cases,

477 cases were auto immune pathology, 633 cases (53.5%) were diagnosed as colloid goitre. Malignant cases were about 32(2.7%) and follicular

neoplasm reported to be 32 cases (2.7%) and unsatisfactory smears were 0.6%.

CONCLUSION: Our study suggested that the incidence of thyroid lesions in our study population is high. Highest prevalence of thyroid

disorders were in the age group of 31–40yrs (28.3%) followed by 21–30yrs (21%).Malignancy more common in the age group of 51–60yrs and

FNAC may be considered as a primary line of investigation of thyroid lesions and it‘s management.