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. To study the Aim and
Objectives:
correlation between Clinical, Radiological, Cytological and Histopathological ?nding in
patients who presented with “solitary
thyroid nodule”. A prospective
observational study, Ramakrishna Mission Materials and
Methods:
Study
design:
Study area Seva Pratishthan
Hospital, Kolkata, July 2019 to June 2022(3 years), 40
patients, Inclusion criteria Study period
Sample size Patients presenting with solitary
thyroid nodule,
Patients with multinodular goitre,
patients with
carcinoma Exclusion criteria
thyroid with distant
metastasis, paediatric
patients and those unwilling. Thorough
history, clinical examination,
Methodology:
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. Solitary nodule is most common in
woman and in third
Conclusion:
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.