Dr. G. Sagar Reddy, Dr. Bharath B
Abstract: Introduction: A discrete swelling in an otherwise impalpable thyroid gland is termed as solitary nodule of thyroid4. Solitary nodule of thyroid has increased in incidence in the present day as compared to two decades before. Because of increased preponderence of malignancy, they should be evaluated with necessary investigations and treated appropriately. Aim: The aim of the study to determine the incidence of solitary nodule thyroid in relation to age and sex and to determine the incidence of solitary nodule of thyroid turning out to be malignancy. Materials and Methods: Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations, operative findings, histopathological report, and follow-up of cases. Results: About, 32 cases with solitary thyroid nodules were studied. Incidence of solitary nodule were observed most in 3rd to 5th decade, constituting 53 % of the cases studied. 70.3 % of cases presented with euthyroid state. Incidence of malignancy in solitary thyroid nodule was 12.5 %. Conclusion: Solitary nodule of thyroid is more common in 3rd to 5th decades. Solitary nodules of thyroid are more common in females. Most of the patients presenting with solitary nodule of thyroid are euthyroid and only a small percentage of patient with toxicity or hypothyroidism ultrasonography can be accurately used to detect patients with MNG who clinically present as solitary nodule of thyroid.
Keywords: Euthyroid, Malignancy, Solitary nodule, Papillary carcinoma, follicular carcinoma, anaplastic carcinoma, hemithyroidectomy