AN OVERVIEW OF THYROID SWELLING IN WESTERN ODISHA – A HOSPITAL BASED RETROSPECTIVE CLINICO-PATHOLOGICAL STUDY

Abstract

Aims and Objectives: To elucidate the clinical presentation of thyroid swelling and to assess the Clinico –Pathological correlation of thyroid swellings. Materials and Methods: A prospective observational study was conducted on 35 patients who were admitted with thyroid swelling in department of general surgery, VIMSAR, Sambalpur over a duration of one year. Result: (1) Mainly all
patients presented with swelling (100%); (2) Status of the gland was evident that 15 (42.85%) cases were clinically diagnosed as solitary thyroid nodule; (3) FNAC showed 14 (40%) cases were having colloid goiter and (4) 12 (34.28%) cases reported as a colloid goiter on Histo-pathological examination (HPE). Conclusion: The commonest presentation was swelling in the neck and maximum patients
presented as solitary thyroid nodules with 85% cases being euthyroid. We also noted that FNAC is a safe and simple technique of preoperative diagnosis with a sensitivity rate was 86% with a specificity rate of 75%. Our results also showed a PPV of 88.3% and a NPV of 73.1%. and also that histopathological studies confirmed the preponderance of colloid goitre.