Clinicopathological study of thyroid swellings in HSK hospital in Karnataka, India

Subhash N. Halbhavi; Mahantayya Ganjigatti; Shrikant B. Kuntoji; Mohammedgouse A. Karikazi

doi:10.18203/2349-2902.isj20180038

Authors

Subhash N. Halbhavi Department of General Surgery, S. Nijalingappa Medical College, H. S. Kumareshwar Hospital, Navanagar Bagalkot, Karnataka, India
Mahantayya Ganjigatti Department of General Surgery, S. Nijalingappa Medical College, H. S. Kumareshwar Hospital, Navanagar Bagalkot, Karnataka, India
Shrikant B. Kuntoji Department of General Surgery, S. Nijalingappa Medical College, H. S. Kumareshwar Hospital, Navanagar Bagalkot, Karnataka, India
Mohammedgouse A. Karikazi Department of General Surgery, S. Nijalingappa Medical College, H. S. Kumareshwar Hospital, Navanagar Bagalkot, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20180038

Keywords:

FNAC, HPE, Subtotal thyroidectomy, USG

Abstract

Background: A thyroid enlargement whether diffuses or in the form of nodules have to be investigated to rule out neoplasm. FNAC is the first line of investigation. USG and TFT are also used. The cases which are at high risk are considered for surgery. Aims and objectives of the study was the clinical presentation of thyroid swellings, incidence of various thyroid swelling, benign versus malignant lesion and to correlate the clinical diagnosis with that of pathological diagnosis.

Methods: A case series study of 60 patients attending surgical OPD IPD with symptoms of thyroid in SNMRC and HSK hospital Bagalkot between 1-1-2015 to 30-6-2016. After detailed history thorough, clinical examination was carried out all the patients underwent routine investigations TFT FNAC USG neck. Few patients underwent surgery and all the thyroid specimens were sent for HPE and the clinical diagnosis is correlated with that of pathological diagnosis.

Results: Of 60 cases female to male ratio was 9:1. The age group involved is between 31-40 years (31.67%). Duration of goiter is less than one year in 60% of cases. The chief complaint was swelling in front of the neck 100%. Duration of swelling ranged from 15 days to 15 years. Toxic features were present in 18.33% of cases, but after TFT the toxic cases were only 6.67%. Most of the patient showed colloid goiter (43.33%) on FNAC. Out of 60 cases only 22 cases did undergo surgery histopathological specimen were colloid versus nodular goiter in 81.88% out of 22 cases only.

Conclusions: Thyroid swellings are common in females they occur in 3rd and 4th decade most commonly. FNAC is very useful in the diagnosis. The main indications of surgery are cosmetic problems, pressure effect symptoms are suspicion of malignancy.

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References

Lal G,Clark OH,. Thyroid Parathyroid and Adrenal. In: Brunicaardi FC, Anderson DK, Billiar TR, Dunn DL, Hunter JG, Matthews JBm et al, editors. Schwartz principles of surgery. 9th ed. Newyork: McGrew Hill, 2010. P. 1343-408.

Smith PW, Salomone LJ, Hanks JB. Thyroid. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL editors. Sabiston Textbook of Surgery. 19th ed. Philadelphia PA: Saunders; 2012.p. 886-923.

Maitra A. Thyroid gland. In: Kumar V, Abbas AK, Fausto N, Aster JC, editors Robbin and Cotran Pathological Basis Of Disease. 8th ed. Philadelphia: Saunders Co; 2010. p. 1107-26.

Asimakopoulas G, Loosemore T, Bower RC, Mckee G, Giddings AE. A regional study of thyroidectomy: surgical pathology suggest scope to improve quality and reduce costs. Ann R Coll Surg Engl. 1995; 77(6): 425-30.

Krukowski ZH, The thyroid and parathyroid glands. In: Williams NS, Bulstrode CJK and Roaman O’ Connell P, editors. Bailey and Love’s short practice of surgery. 26th ed. Boca Raton, FL: CRC Press; 2013.p. 741-77.

Ortiz R, Hupart KH, Defesi CR, Surks M. Effect of an early referral to an endocrinologist on efficiency and cost of evaluation and development of treatment plan in patients with thyroid Nodules.Journal of Clinical Endo and Meta. 1998;83(11): 3803-07.

Hwang S, Shin DY,Yang WI, Byun JW,Lee Sj, et al. Yonsei Med J. 2015;56(5): 1338-44.

Wahid FI, Hussain M, Khan A, Ahmadkhan I. Diagnostic yield of fine needle aspiration cytology in the diagnosis of Thyroid Nodule and its comparision with national and international studies. ISRA Med J. 2012;4(4): 230-4.

Hadjisavva IS, Dina R, Talias MA, Economides PA. Prevalance of cancer in patients with thyroid nodules in the island of Cyprus: Predictive Value of Ultrasound features and thyroid Auto immune status. Eur Thyroid J. 2015; 4:123-128.

Likhar KS, Hazari RA, Gupta Sg, Shukla U. Diagnostic accuracy of fine needle aspiration cytology in thyroid lesions: A hospital based study. Thyroid research and Practise. 2013;10(2):68-71.

Sengupta A, Pal R, Kar S, Zaman FA, Sengupta S, Pal S. Fine needle aspiration cytology as diagnostic tool in thyroid enlargement. J Nat Sci Biol Med. 2011;2(1): 113-8.

Rout K, Ray CS,Behera Sk, Biswal R. A comparative study of FNAC and histopathology of thyroid swellings. Indian J Otolaryngol Head and neck Surg.2011;63(4): 370-72.