Indian Journal of Public Health Research & Development

  • Year: 2015
  • Volume: 6
  • Issue: 3

A Clinico-Pathological Study of Solitary Nodule of Thyroid in North Karnataka

1Assistant Professor, Dept of Surgery, BIMS, Belgaum

2Assistant Professor, Dept of Radiology, BIMS, Belgaum

3Assistant Professor, Dept of Community Medicine, BIMS, Belgaum

4Associate Professor, Dept of Pathology , JNMC, Belgaum

Abstract

Solitary thyroid nodule, defined as a palpable, single clinically detected nodule in the thyroid lobe, is a common clinical entity varying in incidence in different geographical regions. Though often the swelling is noticed accidentally, it may become cosmetically distressing to a patient

1. To study the various clinical presentations of solitary nodule thyroid. 2. To study the management of solitary nodule thyroid and know the incidence of malignancy in the solitary nodule of thyroid.

All the cases in the department of surgery of district hospital in north Karnataka, which fitted into the definition of solitary nodule of thyroid during the study period of one year were included in the study. About 25 cases of solitary thyroid nodule were admitted and studied All the cases were clinically assessed by taking proper history and performing thorough clinical examination. All the study participants were subjected to investigations like ultrasound, FNAC. They were differentiated into the benign and malignant swellings and treatment was charted out accordingly.

Most of the participants were in their 3rd decade and many others in the 4th decade. There was a preponderance of females with thyroid nodules in this study with F:M ratio as 23:2. The maximum number of patients (60%) presented within 6 months of the nodule being noticed. Right lobe is the commonest lobe to be involved (64%).

Solitary thyroid nodule occurred predominantly in females (92%) and in the 21–30 years age group (40%). Majority (74%) of the lesions were benign. Papillary carcinoma was the commonest malignancy.

Keywords

Solitary Nodule Of Thyroid, Management, Clinical Presentation