Abstract
Objective:To assess the Solitary thyroid nodules by surgeon- performed ultrasound-guided FNAC and evaluate with the histopathological findings.Methods:This study includes 100 Consecutive patients of a solitary thyroid nodule which were presented to the Outpatients Department of Surgery during the period of two years from September 2016 to August 2018. Exclusion criteria were patients with extra-thyroid swelling, diffuse goiter and multinodular goiter. All patients with a solitary thyroid nodule underwent Surgeon –performed ultrasound-guided FNAC in the department of Radiology. After thyroid surgery, thyroid specimens were sent for histopathology and evaluate with FNAC findings.Results:The study included hundred patients with solitary thyroid nodule, 75(75%) female and 25 (25%) male with a ratio of F 3:1M. The age of the patients ranged from 15-75 years with a mean age of 35 years. The result of 100 cases of Surgeon –performed Ultrasound –guide FNAC of a solitary thyroid nodule were inconclusive in 10 cases (10%), Non-neoplastic in 60 cases (60%) and Neoplastic lesions in 30 cases (30%). After evaluation of findings from FNAC and histopathology, four cases with benign FNAC (adenomatous/colloid Goiter) turnout as neoplastic (papillary carcinoma) on histopathology and six cases with neoplastic FNAC (papillary carcinoma), just two cases turnout as benign (nodular colloid goiter with cystic degeneration) on histopathology. In present study Surgeon – performed Us FNAC has found to be 87.5% sensitive, 95.3% specific and 92.0% diagnostic accuracy.Conclusion:Surgeon – performed Ultrasound-guided FNAC is a safe, simple and accurate technique in the diagnosis of solitary thyroid nodule.
Highlights
Solitary thyroid nodule is a common surgical problem presents in surgical clinic at outpatients department
About 75 patients subsequently underwent thyroid surgery and thyroid specimens were sent for histopathology fine needle aspiration cytology (FNAC) findings were compared with the histological findings to assess the sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy of Surgeon-performed Ultrasound – guided Fine needle aspiration cytology
In this study 75 cases were operated for thyroid surgery so their histopathological specimen available for comparison between FNAC and histopathological findings
Summary
Solitary thyroid nodule is defined clinically as a palpably discrete swelling within an otherwise apparently normal gland, is usually a benign lesion. Fine needle aspiration cytology (FNAC) is a rapid, minimally invasive, and cost-effective first-line an invaluable tool for Us-FNAC the establishing the diagnosis of thyroid nodules.[2] Ultrasound–guided FNAC has a higher diagnostic accuracy than conventional (palpation-guided) FNAC.[3] In current clinical practice, it is important for a surgeon to be capable of performing Us-FNAC for a broad range of head and neck sites including the thyroid, salivary glands, and lymph nodes. The purpose of this study was to evaluate the Solitary thyroid nodules by surgeon-performed ultrasound-guided FNAC and compare with the histopathological diagnosis. To determine the sensitivity, specificity and accuracy of Surgeonperformed Ultrasound-guided FNAC
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