1Professor, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar
2Associate Professor, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar
3Medical Officer, District hospital, Muzaffarnagar
4Professor, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar
5Junior Resident, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar
6Professor & Head, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar
7Assistant Professor, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar
*Corresponding Author: Dr. Alok Mohan Associate Professor, Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar Mobile: 0989741597/8477007773
Online published on 3 April, 2018.
The study was designed to compare the material adequacy on fine needle aspiration & fine needle non-aspiration cytological techniques in thyroid lesions and histopathological correlation of the diagnosis, wherever possible.
A total of 120 cases of thyroid lesions were included in this study. The patients were subjected to both FNAC and non aspiration. Smears were grouped as adequate and inadequate according to Bethesda system of cytological reporting of thyroid.
In this study, the majority of the patients were aged between 30 and 39 years with a mean age of 38.56 years. In this study, females comprised 87.5% of the study group, while males comprised only 12.5%. Female to male ratio came out 7: 1. Sixty six out of 120 patients, constituted 55% of the total showed adequate cellularity in Fine needle aspiration cytology technique. Ninety out of 120 patients showed adequate cellularity with non aspiration technique constituting 75%.
Colloid goiter was the commonest lesion among non neoplastic category while follicular neoplasm in the neoplastic category. Cytological findings were confirmed by histopathological analysis in 30 cases. On statistical analysis, sensitivity was 83.33% while specificity came out 95.83%.
Non aspiration technique for sampling thyroid lesions is a useful tool for making a correct diagnosis in the majority of cases based on clinicocytological correlation. Non aspiration technique is a sensitive, specific, accurate, rapid, minimally invasive and cost effective with more number of adequate samples.
Cytology, FNAC, Non aspiration, thyroid
