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Analysis of multivariate goitres: retrospective study in a tertiary care centre

Manjunath Kotennavar, Rajendra Benakatti, Aravind Patil, Jeevan Kumar, Manjunath Savant, Pradeep Jaju, Santhan Gutta.

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Objectives: To evaluate the demographic profile, risk factors, clinical presentation, and pathological features of thyroid swellings diagnosed and managed at our tertiary care hospital. The purpose of the study was to compare the following parameters pre and post-surgery. The following parameters were noted: Type of goiter, clinical symptoms, biochemical status (thyroid profile), surgical complications, post-op status-comparison between FNAC and histopathological report.
Materials and Methods:
A total of 127 cases of thyroid swellings on examination from March 2018 to May 2020 in BLDE (DU) Shri BM Patil Medical College Hospital and Research Centre, Vijayapura, were included. The medical records were retrieved, studied, and analysed retrospectively with regards to type of goiter, clinical symptoms, biochemical status (thyroid profile), at the time of presentation, and surgical complications. Histopathological details were analyzed.
Results: The highest number of cases were noted in the 41–60-year-old age group, with female predominance, solitary nodules being most common. Hemithyroidectomy was the predominantly done surgery, and nodular goitre was seen in the final histopathological report in most of the cases.
Conclusions: In our study, we concluded that USG and FNAC findings of the thyroid goiters had higher sensitivity and specificity in detecting thyroid tumors, but they had low sensitivity for follicular carcinoma, as observed in our study, discrepancy between FNAC and HPR.

Key words: Surgery, thyroid, FNAC

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