Journal of Cytology

ORIGINAL ARTICLE
Year
: 2008  |  Volume : 25  |  Issue : 1  |  Page : 13--17

Role of fine needle aspiration cytology in diagnosis and ­management of thyroid lesions: A study on 434 patients


Uma Handa1, Sukant Garg1, Harsh Mohan1, Nitin Nagarkar2 
1 Department of Pathology, Government Medical College and Hospital, Chandigarh, India
2 Department of ENT and Head and Neck Surgery, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Sukant Garg
Department of Pathology, Govt. Medical College, Sector-32A, Chandigarh - 160 047
India

Objectives: To evaluate the results of fine needle aspiration cytology (FNAC) in the diagnosis and management of thyroid lesions. Materials and Methods: A review was conducted of FNAC of diffuse or nodular thyroid lesions performed on 434 patients over a period of three years. The cytological results were correlated with clinical features, biochemical investigations, and subsequent histopathological examination and management of the patients. Results: The most frequently encountered lesion was the colloid goiter in 250 (57.60%) cases followed by thyroiditis in 119 (27.41%) cases, ten (2.30%) adenomatous goiters and two (0.004%) thyroglossal cysts. In the neoplastic group, 14 (1.38%) cases were reported as follicular/Hurthle cell neoplasms and 17 (3.91%) as malignant tumors. When compared with the clinical diagnosis, FNAC proved to be an improvement on the diagnosis of thyroiditis and malignancy when compared with that of goiter. FNA revealed a sensitivity of 97%, a specificity of 100%, a positive predictive value of 96% and a negative predictive value of 100%. Conclusions: FNAC is a minimally invasive, highly accurate and cost-effective procedure for the assessment of patients with thyroid lesions. It also helps in differentiating lesions that require surgery from those that can be managed otherwise.


How to cite this article:
Handa U, Garg S, Mohan H, Nagarkar N. Role of fine needle aspiration cytology in diagnosis and ­management of thyroid lesions: A study on 434 patients.J Cytol 2008;25:13-17


How to cite this URL:
Handa U, Garg S, Mohan H, Nagarkar N. Role of fine needle aspiration cytology in diagnosis and ­management of thyroid lesions: A study on 434 patients. J Cytol [serial online] 2008 [cited 2020 Sep 27 ];25:13-17
Available from: http://www.jcytol.org/article.asp?issn=0970-9371;year=2008;volume=25;issue=1;spage=13;epage=17;aulast=Handa;type=0