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Clinico-pathological correlates of incidentally revealed thyroid swelling in Bihar, India
BACKGROUND: Global prevalence of thyroid cancer has been on the rise in recent decades. OBJECTIVES: To study the clinical presentations to reach an agreement for diagnosis and optimal management of incidentally revealed thyroid swellings for early diagnosis. MATERIALS AND METHODS: A prospective stud...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3283956/ https://www.ncbi.nlm.nih.gov/pubmed/22368398 http://dx.doi.org/10.4103/0975-7406.92730 |
Sumario: | BACKGROUND: Global prevalence of thyroid cancer has been on the rise in recent decades. OBJECTIVES: To study the clinical presentations to reach an agreement for diagnosis and optimal management of incidentally revealed thyroid swellings for early diagnosis. MATERIALS AND METHODS: A prospective study was carried out on 178 cases of incidentally detected thyroid swelling attending a tertiary care teaching institute of Kishanganj Bihar. All the cases were subjected to a thorough clinical examination followed by evidence-based interventions. Fine needle aspiration cytology was done in all the cases preoperatively as out-patients basis and histopathologically confirmed postoperatively. RESULTS: The highest incidence of thyroid swelling (75.84%) was found in the age group of 20-40 years; a female preponderance was noted in the ratio 4:1. The duration of swelling ranged from six months to three years. Difficulty in swallowing and breathing was complained by 23 (12.9%) and 18 (10.1%) of the patients respectively. Typically the swellings were located in the right lobe. Commonly the subjects in our study were in euthyroid state (90%) and were with firm swellings (66.7%). Follicular and anaplastic carcinoma was important postoperative cytological findings. Majority of surgical intervention was hemithyroidectomy (55.06%). CONCLUSION: Incidentally revealed thyroid swelling was quite high in eastern India for which we need a consensus line of intervention. |
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