An analysis of management in papillary thyroid carcinoma in a tertiary care hospital

Rajesh K Mahey, Sharanabasavaraj C Javali, Sonam Devlekar, Satish Dharap

Thyroid Research and Practice 2018 15(2):65-69

Background: Papillary thyroid carcinoma (PTC) is the most common thyroid malignancy, this study was conducted to evaluate the epidemiological pattern of the disease and also to observe and analyze the peak age of occurrence of PTC. In this article, the importance of preoperative ultrasonography (USG) in evaluating thyroid lesions especially malignant lesions and also its usefulness in correlation with fine-needle aspiration cytology (FNAC) findings in PTC has been studied. Materials and Methods: It was an Observational retrospective and prospective included 50 patients (>18 yrs) having histopathology proven papillary thyroid carcinoma. All these patients epidemiological parameters such as clinical presentation and management was studied. Data collection from Medical records office department in retrospective cases and analysed using SPSS software system Results: Maximum occurrences the disease were in the age group being after 31 to 40 years (P = -0.0002). Mean age group was 36 years. Malignancy was significantly associated with female gender >86% of patients (P = -0.0001). Various USG features such as echogenicty, nodularity, microcalcification, resistivity index, height and width of tumour correlation was statistically significant with malignant potential. Conclusion: Preoperative ultrasound and USG guided FNAC helped for early diagnosis and timely management. USG guided FNAC decreased the incidence of false negative and non diagnostic results. Pre op usg allows for the early detection of non palpable cervical lymph node metastasis, thereby potentially helps for overall surgical approach in these patients. Cold nodules on Tc 99 thyroid scan suggests malignancy. In future further developments in ultrasound and fnac may further improve diagnostic accuracy of PTC.

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