International Journal of Contemporary Pathology
  • Year: 2017
  • Volume: 3
  • Issue: 1

A Study on Spectrum of Thyroid Lesions on Cytology

1Tutor, Department of Pathology, Jawahar Lal Nehru Medical College, Bhagalpur, Bihar

2Professor and Head, Department of Pathology, Jawahar Lal Nehru Medical College, Bhagalpur, Bihar

*Corresponding author: Dr Sonal Verma, M.D., Tutor, Department of Pathology, Jawahar Lal Nehru Medical College, Bhagalpur, Bihar

Online published on 4 March, 2017.

Abstract

Fine needle aspiration cytology (FNAC) of suspected thyroid gland lesions has an established role in preoperative diagnosis and management of patients.

The aim of the present study was to evaluate the spectrum of thyroid lesions in our setting.

In the present study, 116 cases were included in this study. FNA was performed from different sites of the thyroid swelling using a 10 mL disposable syringe and 23/24-gauge needle without local anaesthesia. FNA air-dried smears were stained with Giemsa stain. FNAC results were classified into 6 groups according to the Bethesda System for Reporting Thyroid Cytopathology(BSRTC).

Majority of lesions were benign (79.3%) with the most common being a benign follicular nodule.

Malignant lesions accounted for 6.9% cases with the most common being papillary thyroid carcinoma.

The BSRTC has emerged as a valuable tool for uniformity and consensus in the interpretation of thyroid lesions. The high accuracy, sensitivity, and specificity of FNAC confirm that preoperative cytology is a useful, quick and reliable diagnostic technique indispensable for developing countries.

Keywords

FNAC thyroid, spectrum, Bethesda System