For the autonomous toxic nodule, the treatment is either by radioactive iodine or surgical resection. The right lobe of the gland was more affected than the left. Postoperative hospital stay ranged from one to 16 days, mean hospital stay being 5. How to cite item. For the cystic nodules aspiration is both diagnostic and treatment, with post aspiration observation.

Appropriate measures were taken to correct postoperative hypocalcemia and anemia and the drain was taken care of. Thyroid nodules are common. All of these were revealed by histopathology as adenomatoid nodule. Hemostasis, safeguarding of the recurrent laryngeal nerve, parathyroid, and other vital structures was taken care of during the dissection. Suresh , 2 and Amarchala Yadagiri Lakshmi 3. Objective of the study was to study the clinco-pathological correlation of solitary thyroid nodule and the incidence of malignancy. Fine-needle aspiration cytology is recommended to be a cost-effective procedure in the initial assessment and management of thyroid nodules.

Hemi thyroidectomy is the role in all cases proved to be benign by pre operative cytology, while total thyroidectomy is the role in cases proved to be malignant by pre operative cytology or by post operative pathology after hemi thyroidectomy.

The ADC value is a new promising non-invasive approach used thyroud differentiating malignant from benign solitary thyroid nodules. Contemporary Management of Solitary Thyroid Nodule. Presence of solid echogenicity contributes to increased incidence of malignancy in comparison to either cystic or mixed echogenicity of the nodule. Malignant thyroid nodule, solitary thyroid nodules, thyroid surgery.


Hemostasis, safeguarding of the recurrent laryngeal nerve, parathyroid, soliitary other vital structures was taken care of during the dissection. In this study, we have analyzed our departmental data over a period of 5 years.

T3, T4, TSH, serum calcitonin and serum thyroglobulin. Histopathology findings Histopathology was nodular goiter in 77 Also it provides fantastic magnification of thyroid anatomy, including the recurrent laryngeal nerve, superior laryngeal nerve and the parathyroid glands.


solitary thyroid nodule thesis

The findings of our study also thhesis that presence of cervical lymphadenopathy is high in presence of malignant thyroid nodule. It has a great accuracy in rhesis of different pathologic types and in differentiating benign from malignant lesions, except in the follicular tumor group. Clinical examination including determination of presence or absence of toxic manifestations and enlarged cervical lymph nodes was done.

The endoscopic approach provides a superior cosmetic result when compared to conventional thyroidectomy and results in a quicker return to normal activity. Also provides fantastic magnification of thyroid anatomy, including the recurrent laryngeal nerve, superior laryngeal nerve, and the parathyroid glands.

Malignancy in solitary thyroid nodule: A clinicoradiopathological evaluation

There were cases of clinically detected STN with available ultrasound findings in the study group. In a recent article, the authors have emphasized the role of USG by suggesting that nodules with a nondiagnostic FNAC result in the setting of low-risk demographics and benign appearance at ultrasound can be followed with serial ultrasound examinations, thereby avoiding repeat FNAC.

The most common type of malignancy is papillary carcinoma. Comparison was made thfsis the proportion of patients in each diagnostic nodile as classified by preoperative FNAC versus that made after hodule histopathology. Better cytological evaluation of thyroid lesions is possible with imageological findings. Suresh2 and Amarchala Yadagiri Lakshmi 3. DNA Flow cytometry in thyroid diseases. Eighteen cases were diagnosed as follicular neoplasm by FNAC.

Only 14 pages are availabe for public view. The purpose of this study was to evaluate the role of the apparent diffusion coefficient ADC values in the differentiation between malignant and benign solitary thyroid nodules. Also it classifies the nodules into solid, cystic, or mixed.


solitary thyroid nodule thesis

In thyroiditis, the medical treatment takes the upper hand with fewer roles for surgery, which is mainly in the form of tracheal decompression or biopsy taking for assurance of diagnosis. Abstract Thyroid nodules are very common in the general population, while thyroid cancer is relatively uncommon.

Tthyroid, further management should be on individual basis, depending on the results. Risk of malignancy in nonpalpable thyroid nodules: Positron Emission Tomography scanning PET with FDG appears promising in the workup of patients with thyroid nodules as it can differentiate malignant from benign nodules depending on the dose uptake ratio.

Four cases were diagnosed as suspicious for papillary carcinoma by FNAC, two of them were papillary carcinoma and the other two were non-neoplastic adenomatous goiter in histopathological examination.

Malignancy in solitary thyroid nodule: A clinicoradiopathological evaluation

Preoperative ultrasonography USG and fine-needle aspiration cytology were planned in all these patients. Two patients had neuropraxia and improved afterward, in one patient there was unilateral accidental injury and in the other patient, the recurrent laryngeal nerve had to be sacrificed due to tumor infiltration. In other malignant lesions, total or near total thyroidectomy is performed with adjuvant treatment according to the type of malignancy, except in lymphoma whose response to chemotherapy and external radiation give good results.

Computed tomography CT is occasionally indicated in the evaluation of thyroid disease.

The difference in age and sex among the different types of malignancy is non significant.