Vol. 2, Issue 12, Part I (2016)

Aims and Objectives: Aim is to study the clinical presentations of thyroid swellings, incidence of various thyroid swellings, benign versus malignant lesions and to correlate the clinical diagnosis with that of pathological diagnosis.

Materials and Methods: A case series study of 120 patients attending surgical OPD/IPD with symptoms of thyroid swelling in Shadan Institute of Medical Sciences, Hyderabad, Telangana, India between 01/01/2015 to 30/06/2016. After detailed history, thorough clinical examination was carried out. All the patient underwent routine investigations, TFT, FNAC, USG Neck. Few patients underwent surgery and all the excised thyroid specimen were sent for HPE and the clinical diagnosis is correlated with that of pathological diagnosis.

Results: Of 120 cases, female to male ratio of 9:1. The age group involved is between 31-40 yrs (31.67%). Duration of goitre is < 1 year in 60% of cases. The Chief complaint was swelling in front of the neck (100%). Duration of swelling ranged from 15 days to 15 years. Toxic features were present in 18.33% of cases. But after TFT the toxic cases were only 6.67%. Most of the patients showed colloid goitre (43.33%) on FNAC. Out of 120 cases only 44 cases did undergo surgery. Histopathological specimen was colloid/nodular goitre in 81.82% (out of 44 cases only).

Conclusion: Thyroid swellings are more common in females. They occur in 3^rd and 4^th decade most commonly. FNAC is very useful in the diagnosis. The main indications of surgery are cosmetic problem, pressure effect symptoms and suspicion of malignancy.