Journal Name:
- Indian Journal of Basic & Applied Medical Research
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Abstract (2. Language):
Context: Swellings of the thyroid are commonplace in day-to-day practice. Whether symptomatic or not, the differentiation of a
benign from malignant swelling is a primary objective for all physicians. In the recent past, Fine Needle Aspiration Cytology
(FNAC) has emerged as the foremost application in the diagnosis of thyroid swellings. Through this study, we evaluated the
accuracy of FNAC in our setting.
Settings & design: The study was conducted in Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital,
Rewa (MP), on 86 patients who presented with thyroid swellings.
Methods & material: 86 subjects presenting with thyroid swellings were included on whom FNAC was done whereas
histopathology was carried out on 22. The predictive value for FNAC was retrospectively correlated clinically and with biopsy
results, if available.
Results: In the current study, 80 diagnoses clinically correlated to 86 cytological diagnoses. The most common thyroid swellings
were benign adenomas (69.76%). Out of the 22 biopsies performed, 20(90.91%) were correctly diagnosed by FNAC itself.
Conclusion: FNAC achieved a diagnostic accuracy of 95.34% and a discordance of only 4.66%. As it provides the advantage of
being less complicated, cheap, and produces a faster result compared to biopsy, FNAC efficiently differentiates benign from
malignant lesions, obviating the patients need to undergo surgery for accurate diagnosis.
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