Pre-Operative Clinico-Cytological Diagnosis of Thyroid Mass Lesions (A Correlating Study)
| Main Author: | Sanjay Bedi, Nasib Chand Khabra, Navneet Kaur, Palak Mahajan, Bhavna Gulati, Astha Narula and Subash Goel |
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| Format: | Article info Journal |
| Terbitan: |
IJHS Medical Association
, 2015
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| Subjects: | |
| Online Access: |
https://www.ijhsonline.com/index.php/IJHS/article/view/66 |
Daftar Isi:
- Introdution; thyroid nodules are the common thyroid endocrine disorders particularly seen in areas, deficient in iodine content in soil, that includes Sub-Himalayan areas of India, where prevalence may be as high as 40%. Thyroid enlargement (nodular or diffuse) requires many investigations like clinical history, physical examination, Thyroid profile (T3, T4 and TSH), transcutaneous Ultrasonography and Scintiography with Tc 99m. Now a days, FNAC has surpassed most of the tests and also has become an important diagnostic tool for various thyroid abnormalities (benign or malignant). It is a highly effective method for selectingpatients for surgery, identification of benign thyroid nodules except carcinomas and differentiating benign from malignant lesions respectively. Cytological sampling without aspiration is called fine needle capillary sampling (FNCS) and capillary biopsy (FNCB).Aim and objective; To study cytomorphological smear patterns in various non neoplastic and neoplastic thyroid disorders on FNAC .And to compare diagnostic efficacy of smears in fine needle sampling (Non Aspiration) and fine needle aspiration.Materials and methods; Study was undertaken to find, role of FNAC in preoperative diagnosis of Thyroid lesions in the Department of Pathology in M.M.I M S&R Mullana, Ambala (HR) that included eighty patients over a period of one year. USG guided FNAC was done as required. Diagnostic efficacy of smears in fine needle sampling (Non Aspiration) and fine needle aspiration compared. CONCLUSION; Fine needle sampling is important diagnostic modality in sampling of superficial as well as deep seated lesions. For cystic lesions, FNAC is the procedure of choice as FNCS would lead to spillage of contents. For solidthyroid lesions, FNCS often yields specimen of text book quality and also suits children. To increase the probability of a diagnostic sample, both FNAC and FNCS may be used in selected cases, in which one technique supplements the other. So FNAC of the thyroid is a useful tool for making a correct diagnosis in majority of cases, based on clinico-cytological correlation. By combining two techniques, a better diagnostic accuracy can be achieved.