scholarly journals Cytological Profile of Thyroid Lesions and it's Correlation with Clinical and Ultrasonography Findings

2016 ◽  
Vol 3 (1) ◽  
pp. 28 ◽  
Author(s):  
Ujwala S. Chavan ◽  
Archana Patil ◽  
Suresh V. Mahajan
Keyword(s):  
Thyroid Gland ◽  
Clinical Features ◽  
Needle Aspiration ◽  
Endocrine Gland ◽  
Aspiration Cytology ◽  
Diagnostic Modality ◽  
Proper Diagnosis ◽  
To Come ◽  
Needle Aspiration Cytology ◽  
Thyroid Lesions

<strong>Background:</strong> Thyroid gland is the first endocrine gland to develop, largest of all endocrine glands. Superficial location of thyroid gland allows evaluation of thyroid lesions by FNAC (fine needle aspiration cytology). <strong>Aims and Objective:</strong> To study cytological profile of thyroid lesions and correlate the results with Ultrasonography findings and clinical features. <strong>Material and Methods:</strong> This prospective study was carried out on 138 patients who came to the department from period of May 2012 to December 2014. Out of these 138 patients USG was carried out in 115 patients. FNAC of patients was performed and results of FNAC were correlated with those of USG reports and clinical features of the patient. <strong>Results:</strong> Out of 138 cases 83 (60.1%) cases were benign, 18(13.0%) cases were inflammatory, 2 (1.4%) cases were malignant, 28 (20.3%) were categorised as indeterminate, and 7 (5.1%) cases were inadequate. All the 2 malignant cases were given as neoplastic on USG. <strong>Conclusion:</strong> FNAC is the main diagnostic modality of choice for thyroid lesions, along with Ultrasonography and clinical examination it helps to come to the proper diagnosis.

scholarly journals Cytomorphological Profile of Thyroid Lesions on Fine Needle Aspiration Cytology

2021 ◽  
Vol 8 (7) ◽  
pp. 218-222
Author(s):  
Banasri Devi ◽  
Rachana Binayke ◽  
Brizellda Dcunha
Keyword(s):  
Thyroid Gland ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Bethesda System ◽  
Needle Aspiration Cytology ◽  
Thyroid Lesions ◽  
Gland Enlargement

Background and Objectives: Fine needle aspiration cytology (FNAC) of thyroid offers an alternative, as an immediate, preliminary procedure associated with low cost, little trauma and complications. Being superficial and easily accessible it is an ideal organ for FNAC. It is useful in diagnosis of inflammatory, infectious and neoplastic conditions. The aim of this study was to evaluate the cytomorphological profile of thyroid lesions on FNAC with application of Bethesda system for reporting and perform cyto-histopathology correlation whenever possible with regards to age and sex distribution. Methodology: This two-year prospective study was conducted in the Cytology section of Pathology Department & included 243 cases of thyroid gland enlargement. The detailed history of the patient including age, sex, presenting symptoms and duration of thyroid gland enlargement along with any other significant findings was note. FNAC was performed as per the protocol using a 23-gauge needle and smears stained using Haematoxylin & Eosin (H&E) and Papanicolaou stain, while air-dried smears were stained with Giemsa stain. Results: The study period included a total of 243 FNACs of thyroid enlargement. The age of patients ranged from 10 to 80 years with male to female ratio of 1.4. The diagnosis on FNAC was as follows Colloid Goitre (54.7 %), Lymphocytic Thyroiditis (9.54%), Follicular Neoplasm (7.05%), Hashimoto Thyroiditis (5.80 %), Benign Thyroid Lesions (3.31%) and Multinodular Goitre (2.90%). Conclusion: Thyroid fine needle aspiration cytology has proven to be a first line tool to evaluate the thyroid lesions because of its cost effectiveness and high patient acceptance. Fine needle aspiration cytology is highly successful in triaging patients with thyroid nodules into operative and non-operative groups and enables surgeons to take an early decision regarding mode of treatment. The Bethesda system for reporting of thyroid lesions aims at standardization of reports. It makes the cytology report unambiguous and clinically relevant. Keywords: Fine needle aspiration cytology, thyroid lesions.

scholarly journals Fine needle aspiration cytology of head and neck lesions and its correlation with histopathology

2016 ◽  
Vol 6 (12) ◽  
pp. 985-989
Author(s):  
R Pathak ◽  
KBR Prasad ◽  
SK Rauniyar ◽  
S Pudasaini ◽  
K Pande ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Lymph Node ◽  
Thyroid Gland ◽  
Head And Neck ◽  
Soft Tissues ◽  
Neck Region ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Needle Aspiration Cytology

Background: Fine needle aspiration cytology is a minimally invasive technique used in the initial diagnosis of different types of lesions located in head and neck region commonly originating from cervical lymph node, thyroid gland, salivary glands and soft tissues. The objective of this study was to evaluate the diagnostic accuracy, sensitivity and speci city of FNAC in various head and neck lesions in correlation with their histopathological examination. Materials and methods: A hospital based prospective study was conducted among 209 patients with palpable head and neck region swellings in the Department of Pathology, Bhaktapur Cancer Hospital and the Department of Pathology, Nepal Medical College from August 2014 to July 2015. FNAC were done from palpable masses of head and neck regions. Data entry and analysis were done using SPSS 17. Result: There were 209 FNAC cases enrolled, out of which lymph node lesions (n=128) were the most common lesions followed by thyroid (n=40), other soft tissues (n=27) and salivary gland (n=14). Reactive lymph nodes, colloid goiter, epidermoid cyst and sialadenosis were the predominant diagnosis of lymph nodes, thyroid gland, soft tissues and salivary gland respectively. Highest accuracy, sensitivity and speci city were observed in thyroid gland, salivary gland and soft tissues. However, four false negative results for malignancy were reported in lymph node lesions. Conclusion: Head and neck region swellings are the commonly encountered conditions. FNAC being highly accurate, sensitive and speci c makes it useful and reliable procedure for screening and diagnosis of palpable masses in head and neck region. 

Cytopathological Evaluation of Thyroid Lesions Based on Bethesda System in Patients Attending Birat Medical College and Teaching Hospital

2020 ◽  
Vol 22 (4) ◽  
pp. 260-265
Author(s):  
Neeta Kafle ◽  
B Koirala ◽  
SU Kafle ◽  
M Singh ◽  
A Sinha
Keyword(s):  
Teaching Hospital ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Medical College ◽  
Bethesda System ◽  
Needle Aspiration Cytology ◽  
Thyroid Lesions

More than 50% of the world’s population has at least a thyroid nodule. Detail clinical examination and radiology may help in diagnosing thyroid lesions but the management depends upon the cytopathological diagnosis. Optimum use of fine needle aspiration cytology (FNAC) and better understanding of cytomorphological characteristic of thyroid lesions by using Bethesda system, triaging of patients who are to be treated medically or surgically is more accurate. The objective of this present study is cytopathological evaluation of thyroid lesions based on Bethesda System in patients attending Birat Medical College and Teaching Hospital. The objective was also to correlate the cytological findings with histopathological findings where ever possible. A total of 104 patients with thyroid lesions underwent fine needle aspiration cytology in a period of a year (September 1, 2019 to August 31, 2020). Cytological features were evaluated and classified according to the Bethesda system. Histopathological features were evaluated and correlated wherever available. Among 104 patients with thyroid lesions 93 were female and 11 were male. Four cases turned out to be non diagnostic, 85 benign, three Atypia of undetermined significance, three Suspicious for follicular neoplasm and eight Suspicious of malignancy and one Malignant according to Bethesda system. Histopathology specimen was received in 31 patients out of whom 20 (64.5%) patients were reported as colloid nodule, two follicular adenoma, one Hurthle cell adenoma, six papillary carcinoma and two follicular carcinoma. Medullary carcinoma and anaplastic carcinoma were not seen in the patients evaluated. Specificity and sensitivity of fine needle aspiration cytology was 94.7% and 88.9% respectively. Thus reporting thyroid lesions FNAC with Bethesda system allow a more specific cytological diagnosis.

scholarly journals Cytopathological Evaluation of Thyroid by Fine Needle Aspiration Cytology and Correlation with T3 T4 and TSH Levels

2015 ◽  
Vol 3 (4) ◽  
pp. 37-41
Author(s):  
Suman Poudel ◽  
Sudeep Regmi ◽  
Anita Shahi ◽  
Ashok Samdurkar
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Thyroid Function Test ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Asymptomatic Patients ◽  
Significant Difference ◽  
Needle Aspiration Cytology ◽  
Thyroid Lesions

INTRODUCTION: Fine Needle Aspiration Cytology (FNAC) of the thyroid gland is now a well-established, first line diagnostic test for the evaluation of thyroid lesions. An FNA is performed along with Thyroid Function Test (TFT) profile to correlate cytology with hormonal function in symptomatic or asymptomatic patients. MATERIALAND METHODS: Total of 117 cases of FNAC of thyroid lesions were selected who had undergone TFT profile. The lesions were evaluated cytologically and categorized according to Bethesda System of classification and correlated with TFT profile. RESULTS: Out of 117 cases studied, the middle aged (20-49 years) females were most commonly affected by thyroid diseases. The predominant lesions cytologically were Benign Follicular Nodule (BFN) with frequency of 51.3%.With respect to hormonal status most of the lesions were Euthyroid (53.8%). The study showed no significant difference in mean of TFT profile with regard to various FNAC diagnoses. CONCLUSION: The study showed that FNAC and TFT profile both are essential for the proper management of thyroid lesions and, there is no significant difference between FNAC diagnosis and mean TFT profile.

Correlation of Fine Needle Aspiration Cytology of Thyroid Gland with Histopathological Results

2018 ◽  
Vol 90 (5) ◽  
pp. 1-5 ◽  
Author(s):  
Ewa Machała ◽  
Jan Sopiński ◽  
Iulia Iavorska ◽  
Krzysztof Kołomecki
Keyword(s):  
Fine Needle Aspiration ◽  
Predictive Value ◽  
Fine Needle Aspiration Cytology ◽  
Cost Effective ◽  
Needle Aspiration ◽  
The Other ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Thyroid Lesions

ABSTRACT Fine needle aspiration cytology (FNAC) is considered as the gold standard diagnostic test for the diagnosis of thyroid nodules. It is a cost-effective procedure that provides specific diagnosis rapidly with minimal complications. It plays an important role in the determination of treatment- patients with suspected malignancy diagnosis can be subjected to surgery. On the other hand it can decrease the rate of unnecessary surgeries. Aims: The aim of this study was to evaluate and compare the correlation, accuracy of fine needle aspirational cytology (FNAC) in the diagnosis of thyroid lesions with the final histopathologic diagnosis in the surgical specimens. Materials and Methods: In our study we have performed a retrospective analysis of a case series of patients who were admitted to the Department of Endocrine, General and Oncological Surgery of Hospital of M. Kopernik in Łodź (Poland) between May 2016 and December 2017 and underwent FNAC with subsequent surgery. Cytological diagnosis was classified into six Bethesda categories. Results: On cytological examination 1070/1262 were reported as benign, 49 malignant and 143 suspicious. On histopathological examination, 956/1070 cases were confirmed as benign but there were 114 discordant cases. Among the other cases histopathology diagnosis of malignancy matched in 45/49 and 128/143 cases.The sensitivity and specificity were 60,28% and 98,05% respectively. False positive rate was 1.95% and false negative rate was 39.72%. The positive predictive value was 90.1% and negative predictive value was 89.35%. Accuracy of FNA in differentiating benign from malignant thyroid lesions was 89,46%. Conclusions: Fine needle aspiration cytology is a simple, cost-effective and popular procedure for the diagnosis of thyroid cancer. It is recommended as the first line investigation for the diagnosis of thyroid lessions.

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