Abstract
Although recently published research has focused on the addition of ultrasound scan findings to the evaluation of the thyroid gland, FNAC has long been the corner stone of thyroid lesion decision making. In our study population of 100 thyroidectomies we found out of those who had a cytological diagnosis of Thy 2 and underwent thyroidectomy due other compounding factors 8.57% of the had malignancy reported in their final histology report. We also found that a Right-sided solidarity thyroid nodule in a male may be an increased risk factor for malignancy. We highly recommend addition of USS staging to be included in decision making especially in benign lesions as there is still a significant risk of malignancy.
Highlights
Fine needle aspiration cytology (FNA/ FNAC) is considered the gold standard diagnostic test for the diagnosis of thyroid enlargement
Based on the cytology findings, patients can be followed in cases of benign diagnosis and subjected to surgery in cases of malignant and suspected non diagnostic findings thereby decreasing the rate of unnecessary surgery
The procedure thyroidectomy did not become popular till 1909 when Theodore Kocher demonstrated a safe technique of extra capsular thyroidectomy
Summary
Fine needle aspiration cytology (FNA/ FNAC) is considered the gold standard diagnostic test for the diagnosis of thyroid enlargement. Fine needle aspiration cytology is a cost effective procedure that provides specific diagnosis rapidly with minimal complications. 1, 2 Based on the cytology findings, patients can be followed in cases of benign diagnosis and subjected to surgery in cases of malignant and suspected non diagnostic findings thereby decreasing the rate of unnecessary surgery. The Purpose of the present study was to correlate the fine needle aspiration cytology findings with histopathology of excised specimens 3, 4 Ethical Clarence. Ethical clearance was obtained from the Audit department, East Lancashire Health trust
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