Histopathological review of thyroid swellings a retrospective study
DR. V Kopperundevi
Diseases of thyroid gland presents with either an alteration of hormone secretion or as enlargement of the thyroid gland.The normal thyroid gland is impalpable. The term goiter (Latin, guttur=the throat) is used to describe generalized enlargement of the thyroid gland. Thyroid nodules which occur spontaneously in 4 to 10% of adult population are source of concern for patients and a diagnostic dilemma for the physicians. The ultimate answer rests with the histopathologic examination of the excised tissue.rnThe aim of this study was to study the spectrum of thyroid lesions and to correlate the FNAC findings with histopathology of excised specimens.rnAbout 565 patients underwent FNAC study and 286 patients underwent surgery. All specimens were reviewed in this study from 2013- 2015. Both showing female preponderance and goitre is the most common presentation in both. Among the FNAC specimens 57%-Colloid goitre, 31%- thyroiditis, 6%- carcinoma, 4%- cystic disease and 2%- toxic hyperplasia. HPE specimens 53%- goitre, 17%- carcinoma, 16%- thyroiditis, 7%- MNG with adenomatous hyperplasia, 3%- adenoma and 1.5%- cystic change. This study shows that majority of thyroid diseases are benign and seen mainly in females.