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New Indian Journal of Surgery

Volume  11, Issue 2, April-June 2020, Pages 224-229
 

Original Article

A Study of Correlation of Preoperative Fine Needle Aspiration Cytology (FNAC) With Postoperative Histopathological Examination (HPE) in Thyroid Swellings

Sandeep M Desai1, PT Jamdade2, Meghraj J Chawada3

1Senior Resident, 2Professor and Head, 3Associate Professor, Department of General Surgery, Government Medical College, Latur, Maharashtra 413512, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.24

Abstract

 

Context: FNAC is cost effective, cheap, more patient compliant compared to histopathology. It is not only screening tool but has been considered as gold standard also. But it is not without limitations.
Hence studies are required to prove its feasibility and accuracy compared to histopathology in different settings. Aims: To correlate FNAC results before surgery with histopathology reports after surgery.
Settings and design: Present hospital based diagnostic evaluation prospective study was carried out at Government Medical College, Latur. Methods: Detailed history was recorded in the pre designed, pre tested, semi structured study questionnaire prepared for the present study. Thorough clinical examination including general, local and systemic examination for each and every patient included in the present study was carried out. All patients were subjects to routine   investigations. FNAC and USG of the thyroid gland was carried
out for all the included patients. FNAC report was obtained from the pathology department. Statistical Analyzis: Sensitivity, specificity, positive predictive value and negative predictive value was calculated for FNAC Results: All cases had swelling of thyroid gland and majority on right side. Majority (73.4%) swelling was non neoplastic and 95.7% were females and 38.3% were in 41–60 years group. Out of 94 FNAC
studies majority i.e. 33 cases as colloid goitre with cystic degeneration. Among the 69 non neoplastic lesions, 28 cases were colloid goitre with cystic degeneration. Among 25 neoplastic lesions 12 cases were benign neoplastic lesions. FNAC and HPE correlated well in majority of the cases i.e. 92.6% of the cases. Conclusion: High rate of diagnostic accuracy can be achieved by use of ultrasound guidance with strict adherence to adequacy criteria and meticulous examination of all the smears.
Keywords: Histopathology; Smears; Cases; surgery; Goitre.


Corresponding Author : Meghraj J Chawada