A STUDY OF THE CLINICAL, RADIOLOGICAL, CYTOLOGICAL AND HISTOPATHOLOGICAL CORRELATION OF SOLITARY THYROID NODULE

Abstract

Background:Solitary thyroid lesions are a common presentation in the surgical OPD. The signicance of solitary nodule is its malignant potential. Thyroid nodule is an elusive clinical problem. Surgeons and Physicians are often required to make a diagnostic or management decision in its treatment. Aim and Objectives: To study the correlation between Clinical, Radiological, Cytological and Histopathological nding in patients who presented with “solitary thyroid nodule”. Materials and Methods: Study design: A prospective observational study, Study area: Ramakrishna Mission Seva Pratishthan Hospital, Kolkata, Study period: July 2019 to June 2022(3 years), Sample size: 40 patients, Inclusion criteria: Patients presenting with solitary thyroid nodule, Exclusion criteria: Patients with multinodular goitre, patients with carcinoma thyroid with distant metastasis, paediatric patients and those unwilling. Methodology: Thorough history, clinical examination, investigation (FNAC/USG/Isotope Scan, TSH), appropriate surgical intervention and HPE of excised specimen was done. Results: In our study of 40 cases, 28(70.0%) were colloid goiter, 7(17.5%) were papillary carcinoma, 2(5%) were follicular adenoma, 1(2.5%) was follicular carcinoma, 1(2.5%) was adenomatoid hyperplasia and 1(2.5%) was Hashimoto thyroiditis. 28(70%) cases underwent hemithyroidectomy, 11(27.5%) underwent total thyroidectomy and 1(2.5%) underwent hemithyroidectomy followed by revision total thyroidectomy. 2 cases of papillary carcinoma with enlarged neck nodes underwent total thyroidectomy with neck node dissection. Conclusion: Solitary nodule is most common in woman and in third and fourth decade of life, more common in the right lobe. USG and FNAC are common modalities of investigations with high specicity and sensitivity. Isotope scan is only indicated to conrm the toxic nodule. Malignancy reported in my study was 20%. Early diagnosis and prompt treatment will cure the disease since carcinoma thyroid is more curable amongst all cancers.