Vol. 8, Issue 1, Part D (2022)

Introduction: Midline neck mass presents varying degrees of enlargements in front of the neck encompasses thyroglossal duct/cyst, solitary thyroid cyst, thyroid neoplasm.

Objective: To find out the incidence of midline mass by FNAC in Jorhat Medical College & Hospital from the period October 2020 to September 2021.

Materials and Method: one year retrospective, qualitative cross sectional, observational study done in 72 nos.of different cases of midline mass and FNAC was the first mode of examination in all cases referred to us.

Result: Reporting of the cases was followed by New Bethesda system of reporting thyroid cytopathology (TBSRTC) which offers very clean concept clinically well explainable to our clinician.

On FNAC reporting 60-70% of cases had simple colloid goiter, followed by hyperthyroidism that was associated with huge nodularity and thyrotoxic features.

Few cases of AUS/FLUS were reported as per criteria laid down by TBSRTC Bethesda grading.

Conclusion: In this study, goiter in females which constitute nearly 70-80% between the 3rd and 4th decades of life. FNAC resulted with 97 % sensitivity about 95 % specificity with high Positive predictive value. FNAC found to be most economical, quick and gold standard, easy to interpret by both the pathologist and the clinician till date.