Abstract

Thyroid nodules are very common problems that are encountered and their incidence varies and is dependent on the geography of the region. Solitary thyroid nodule (STN) can have a variety of presentations most often it initially occurs as an asymmetrical enlargement of the affected lobe like in chronic lymphocytic thyroiditis that is Hashimoto’s thyroiditis or a simple goiter. Objective: To study clinico-pathological, ultrasound features and status of thyroid in patients with STN Methods: Hospital based prospective study was carried out among 50 cases of STN. These cases were studied in detail clinically. Routine investigations and specific investigations including thyroid profile, fine needle aspiration cytology (FNAC) of the nodule, Plain X-ray neck, ultrasonography (USG) neck was done in all cases. Hemi thyroidectomy was the surgery of choice except in cases proven as malignant in FNAC or in suspicious cases. Results: Females were more (92%) compared to males (8%). Most commonly affected age group was 31-40 years (36%). Most common site of nodule was right loge (66%). FNAC revealed that it was benign in 42%. Most commonly done surgery was hemi thyroidectomy (78%). Only five cases had postoperative complications like hypocalcemia (3) and vocal cord palsy (2). As per histopathological report most common was colloid goiter (46%). Consistency and thyroid profile status were not associated with type of surgery or postoperative complications (p>0.05). FNAC result other than benign was significantly associated with type of surgery and postoperative complications(p<0.05). Conclusion: Females are more affected than males with the solitary thyroid nodule (STN). Most of them were euthyroid. Right lobe is commonly affected with STN. FNAC result other than benign was significantly associated with type of surgery and postoperative complications

Description

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