Vol. 5, Issue 4, Part B (2019)

Abstract
Solitary thyroid nodule can be defined as a goitre which on clinical examination appears to be a single nodule in a normal thyroid gland. Solitary thyroid nodule remains a common clinical problem. Virtually any disease of the thyroid can present as a solitary thyroid nodule. A solitary nodule has a high risk of being malignant (10-20%) than the multiple palpable nodules of a multinodular goitre (5%). This is a study of randomly selected patients with clinically palpable, solitary thyroid nodule diagnosed and treated at IMS and SUM hospital, Bhubaneswar. Total duration of study was two years, from 2016 July to 2018 July. In our study 40% of solitary nodule in males proved to be malignant whereas in females only about 6% of the solitary nodules harboured malignancy, the malignant potential of a nodule in a man is approximately three times that for women of comparable age and in our study, the risk has been almost six times. Hemi thyroidectomy is the minimum, surgical procedure for single nodule. Cancer risk in follicular neoplasm is 12%. Patient being submitted to Thyroidectomy should be counselled pre operatively with regard to the risk of recurrent Laryngeal nerve paralysis.