INCIDENCE OF CARCINOMA THYROID IN SOLITARY THYROID NODULE AND PREVALENCE OF DIFFERENT TYPES OF THYROID MALIGNANCY: PROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL

Abstract

Vayalapalli Manmadha Rao, Prasadula Ashok, Mantra Sanjay, Surisetty Srinivas Rao

BACKGROUND Thyroid carcinoma is the most common cancer in the world. The study aimed to look in to incidence of malignancy in solitary thyroid nodule and prevalence of different types of malignancy. MATERIALS AND METHODS A prospective clinicopathological study of 151 patients diagnosed clinically as Solitary thyroid nodule evaluated and treated in King George hospital, Andhra medical college, Visakhapatnam over a period of 2 yrs. and 2 months from September 2015 to October 2017. RESULTS Out of 151 cases, 133(88.08%) solitary thyroid nodules are benign, 18(11.92%) are malignant. Out of 18 malignant cases, 11 (61.11%) are papillary thyroid carcinoma, 6(33.33%) are follicular thyroid carcinoma, 1 (5.55%) is medullary thyroid carcinoma. The peak age incidence of SNT is in the fourth decade of life (52 cases) and fifth decade (37 cases) followed by third decade (27 cases). The youngest being 15 years old girl and the oldest being 75 years old woman. Mean age is 39.10. The peak age incidence of malignancy in SNT is in the fifth decade of life (7 cases). CONCLUSION Since the finding of a thyroid nodule is a common clinical problem and the proportion of such nodules that prove to be malignant is small, investigations are of immense help to corroborate with the clinical and morphological findings.

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