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New Indian Journal of Surgery

Volume  9, Issue 5, Sep-Oct 2018, Pages 639-643
 

Original Article

Solitary Thyroid Nodule and its Chances of Being Malignant

Surapaneni Sushama1, Nikhil Teja Inapuri2, Prabhakara Rao Yella3

1Associate Professor 3Professor, Dept. of General Surgery, NRI Medical College, Chinakakani, Guntur, Andhra Pradesh 522503, India. 2Senior Resident, Dept. of General Surgery, Siddhartha Medical College, Vijayawada, Andhra Pradesh 520008, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.18

Abstract

Aim: To evaluate the solitary thyroid nodule (STN) cases clinically and pathologically, study the frequency of malignancy and correlating it with FNAC and histopathology. To observe which pathological variant of carcinoma occurs most commonly. Method: The present study of “Solitary thyroid nodule and its chances of being malignant” has been conducted retrospectively utilizing 100 cases which were diagnosed clinically as STN and managed both as inpatient and outpatient basis in the department of General Surgery at NRI General Hospital from October 2014 to September 2016, Chinakakani. Results: There were 87 female and 13 male patients in STN group,
resulting in a female to male ratio of 6.69:1. This ratio varied throughout the various age groups. Mean age for STN is 38.07 years. Malignant cases were 28 in STN out of which 3 were males (10.71%) and 25 were females (89.28%).
Conclusion: Thyroid swellings and thyroid carcinomas are more common in females. The risk of malignancy is high in STN (28%). Amongst the malignant lesions most common was papillary carcinoma in STN (75%). 

Keywords: Solitary Thyroid Nodule; FNAC; Histopathology; Malignancy.


Corresponding Author : Nikhil Teja Inapuri, Senior Resident, Dept. of General Surgery, Siddhartha Medical College, Vijayawada, Andhra Pradesh 520008, India