Thyroid Lesions: FNAC and Histopathology Correlation in Our Experience.
Loading...
Date
2016-03
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Fine needle aspiration cytology is considered the gold standard diagnostic test for the diagnosis of thyroid
nodules. Fine needle aspiration cytology is a cost effective procedure that provides a specific diagnosis rapidly with
minimal complications. Based on the cytology findings, patients can be followed up in cases of benign diagnosis and
subjected to surgery in cases of malignant diagnosis thereby decreasing the rate of unnecessary surgery. The purpose
of the present study was to correlate the fine needle aspiration cytology findings with histopathology of excised
specimens. Methods: This was a prospective study conducted on 310 consecutive patients between June 2012 and
May 2015. All patients with clinically diagnosed thyroid nodule were included in the study. Results: In our study
sensitivity of the thyroid FNAC ranges from 93.02% to 100% and its specificity from 60.42% to 96.62% respectively.
Positive predictive value is 94.44% and negative predictive value is 100%. Commonest benign condition is multinodular
goiter and malignancy is papillary carcinoma. Most difficult thyroid lesions to be reported are those in the intermediate
category as cytomorphological features are overlapping.Conclusion: Fine needle aspiration cytology is a simple, easy
to perform, cost effective, and easily repeated procedure for the diagnosis of thyroid cancer. It is recommended as the
first line investigation for the diagnosis of thyroid nodules.
Description
Keywords
accuracy rate, thyroid lesions, FNAC, histopathology correlation, unnecessary surgery, initial screening
Citation
Usha M, Jasuja Avnika, Rashmi K, Reginald Sharon, Rakshitha H B, Kumar Aneesha Asok. Thyroid Lesions: FNAC and Histopathology Correlation in Our Experience. Annals of International Medical and Dental Research. 2016 Mar-Apr; 2(2): 153-157.