Study of Management of Solitary Thyroid Nodule

Nirav Priyadarshi, Dhaval Mistry, Nilesh Kharadi

Abstract: Introduction: The clinically solitary thyroid nodule may be defined as A thyroid swelling, which on clinical examination appears to be a single palpable nodule in an otherwise normal gland. Solitary thyroid nodule still remains a mystery for surgeons and pathologists in these days of recent advances, aims and objectives: To study the incidence rate of solitary thyroid nodule in different age group of population with respect to different pathology, investigations and management. Material and methods: The present study consists of study of 35cases of solitary thyroid nodule. Complete history was taken and full clinical examination was carried out. results: Majority of the patients is between 30-49 years of age. Female: male ratio is about 7.7. After swelling pain over swelling was second most common presentation (5.8 %). Most common benign pathology is follicular adenoma (24 %) and malignancy is papillary carcinoma (11.42 %) and follicular carcinoma (11.42 %). Commonest surgery performed was Hemithyroidectomy in 19 (54.28 %) cases. Discussion: Majority of patients are euthyroid on presentation. FNAC is first investigation of choice. USG is a useful diagnostic aid. Modified neck dissection is advised for patients with enlarged nodes in papillary carcinoma and for those pos-op patients who are diagnosed to have malignancy with lymph node metastasis.

Keywords: Solitary Thyroid Nodule, Pathology, Investigations, Management