Revisitation of thyroid lesions in natives from hilly region: A four years perspective

Abstract

Clinically palpable thyroid nodules pose a challenge in diagnosis and management for surgeons and pathologists as thyroid malignancies may show overlapping characteristics with their benign counterparts in terms of physical characteristics, hormonal levels and imaging details. This study was aimed to revisit the spectrum of thyroid lesions in surgically resected specimens, their clinicopathological characteristics and to compare the cytological and imaging findings in discrepant cases.The present retrospective study retrieved a total of 69 cases of thyroid resection specimens with available relevant demographic, clinicoradiological and cytological findings. The histopathological diagnosis was considered gold standard.Colloid goitre (37.7%) and papillary carcinoma (17.4%) were found to be the commonest non-neoplastc and neoplastic lesions respectively. Peak incidence in 20-40 years of age group and M:F ratio of 1:3.6 in overall thyroid disorders was noted. 08 discrepent cases were observed while comparing histological diagnosis with radiological and /or cytological findings.Histopathological diagnoses were in agreement with imaging findings and /or FNAC results in most of the cases, however, patients with indeterminate or suspicious FNAC results, need to be followed-up for early surgical intervention if required.