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Clinicopathological study of Multinodular goiter at AVBRH

2014; Volume: 5; Issue: 1 Linguagem: Inglês

10.7439/ijbar.v5i1.557

2455-0558

Mangesh Padmawar, Kiran Shrikant Kher, Anupam Kakade,

Oral and Maxillofacial Pathology

Aim: To study the clinicopathological features of multinodular goiter and its management at AVBRH, rural set up. Method: Total 57 cases of multinodular goitre (MNG) were studied. Patients of all age group, of both sexes with complaints of swelling over neck were included. Patients were subjected for clinical palpation, ultrasonography (USG), Lymph Nodes examination, thyroid profile, Fine-needle aspiration cytology (FNAC) and accordingly treated with surgical and medical mode of management. All operated specimens were sent for histopathological evaluation. Results: 17 patients (29.82%) were between age group of 20 to 30 yrs with a female preponderance.11 patients (19.29%) presented with single nodule on palpation but their USG findings showed multiple nodules. All the 57 studied subjects underwent FNAC, out of which 51 cases (89.47%) turned out to be benign and 6 cases (10.52%) were malignant. Out of 57 patients 35 underwent histopathological examination of which 28 cases (80%) were benign and 7 cases (20%) were malignant. Conclusion: Taking into consideration Histopathology report as a gold standard, correlation of FNAC finding with histopathology finding showed 100% sensitivity, 93.33% specificity with 71.42% positive predictive value and 100% negative predictive value.