GOITER: AN OTORHINOLARYNGOLOGIST EXPERIENCE AT A TEACHING HOSPITAL
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Abstract
Objectives:
1) to study the presentations and findings of fine needle aspiration cytology (FNAC) and histopathology of goiter
2) to study the outcome of surgical procedures for goiter in otorhinolaryngology ward of a teaching hospital.
Methodology: This prospective study was conducted in the department of ENT, Head and Neck Surgery, Lady Reading hospital Peshawar from May 2012 to April 2013. All the patients of any age and either gender having goiter requiring surgery were included. Every patient was evaluated in terms of detailed history, thorough examination and relevant investigations. Thyroidectomy was performed according to the nature and extent of disease. The data were collected on a predesigned proforma and analyzed using SPSS version 16.
Results: Out of 72 patients, 62 (86.1%) were female and 10 (13.9%) were males. Mean age was 38.61+13.87 years. The main complaints was anterior neck swelling (100%), lasting for >2 years in 51.4% patients. Both lobes of thyroid were enlarged in 51.4% patients, while in 45.8% patients the size of goiter was 6-10 cm2. Solitary thyroid nodule was the commonest (58.3%) observation. Adenomatous colloid nodule was diagnosed 65.3% and 77.8% on FNAC and histopathology respectively. Malignancy was noted in 22.2% cases on histopathology. Partial thyroidectomy was performed in 43.1%. Complication occurred in 23.6% cases & wound dehiscence (6.9%) was the commonest complication.
Conclusion: Goiter was common in females of middle age and majority had solitary thyroid nodule. Benign adenomatous colloid nodule was the commonest findings on histopathology. Majority underwent partial thyroidectomy and complication rate was 23.6%.
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References
Jawaid MA, Rahim DU, Memon MA, Magsi PB, Shaikh SM, Marfani MS. Presentation, Management and Outcome of Surgery PF Thyroid Swellings by ENT & Head and Neck Surgeons at Civil Hospital Karachi. JLUMHS 2012; 11(02):71-75.
Rehman AU, Lodhi S, Anwar MI. Histopathological Evaluation of 432 Cases of Goiter .ANNALS king Edward 2009; 15(2):54-56
Khanzada TW, Memon W, Samad A. An Audit of thyroid surgery: The Hyderabad Experience. Pak Armed Forces Med J. 2011; 61(2): 211-4.
Vyas CS, Vijayvargiya SC, Porwal S, Gupta R, Swarnkar M. A study of thyroid swelling with clinicopathological parameters. Int J Biol Med Res. 2013; 4(2): 3250 - 3252
Khanzada TW, Memon W, Samad A. An Audit of Thyroid Surgery: The Hyderabad Experience. Pak Armed Forces Med J 2011; 6(2):211-4.
Ali MA, Raziq S, Khan WA, Majeed S. Total Thyroidectomy for multi-nodular goiter. Pak Armed Forces Med J 2011; 6(1):.
Sushel C, Khanzada TW, Zulfikar I, Samad A. Histopathological Pattern of Diagnoses in Patients Undergoing Thyroid Operations. Rawal Med J 2009; 34:14-16.
Gupta N, Goswami B, Hunjan PS, Shankar LR, Kakar A. Evaluation of the clinicopathological profile of solitary thyroid nodules: Our experience. Thyroid Res Pract 2011; 8(2): 3-12.
Sengupta A, Pal R, Kar S, Zaman FA, Basu M, Pal S. Clinico-pathological correlates of incidentally revealed thyroid swelling in Bihar, India. J Pharm Bioall Sci 2012; 4: 51-5.
Agarwal A, Agarwal S, Tewari P, Gupta S, Chand G, Mishra A et al. Clinicopathological profile, airway management, and outcome in huge multinodular goiters: an institutional experience from an endemic goiter region. World J Surg 2012; 36(4)755-60.
Ali N, Madziga AG, Dogo D, Gali BM, Gadzama AA. Outcome of surgery for toxic goiter in Maiduguri: A single teaching hospital’s perspective. Niger J Clin Pract 2012; 15:280-4.
Bagga PK, Mahajan NC. Fine needle aspiration cytology of thyroid swellings: How useful and accurate is it? Indian J Cancer 2010; 47: 437-42.
Likhar KS, Hazari RA, Gupta SG, Shukla U. Diagnostic accuracy of fine needle aspiration cytology in thyroid lesions: A hospital-based sudy. Thyroid Res Pract 2013; 10:68-71.
Pandy P, Dixit A, Mahajan NC. Fine-needle aspiration of thyroid: A cytohistologic correlation with critical evaluation of discordant cases. Thyroid Res pract 2013; 9: 32-9.
Huque SM N, Ali MI, Huq MM, Rumi SNF, Sattar A, Khan AFM. Histopathological pattern of malignancy in solitary thyroid nodule. Bangladesh J Otorhinolaryngol 2012; 18(1): 5-10.