Volume : 6, Issue : 3, March - 2017
SONOGRAPHIC & COLOR DOPPLER EVALUATION OF THYROID NODULE/S AND ITS CORRELATION WITH FNAC/ HPE FINDINGS
Dr. Nancy Jindal, Dr. Aditi Vohra, Dr. Amit Mittal, Dr. Harneet Narula
Abstract :
<p> <b style="text-align: justify;"><span style="font-size:12.0pt;line-height:130%;font-family: "Times New Roman",serif;mso-bidi-font-style:italic">Objective: </span></b><span style="text-align: justify; font-size: 12pt; line-height: 130%; font-family: "Times New Roman", serif;">To correlate provisional sonographic & Color Doppler diagnosis in differentiating benign & malignant thyroid nodules with pathological diagnosis on FNAC/ HPE.</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;text-justify:inter-ideograph;line-height:130%;mso-layout-grid-align: none;text-autospace:none"><b><span style="font-size:12.0pt;line-height:130%;font-family:"Times New Roman",serif; mso-bidi-font-style:italic">Methods:</span></b><span style="font-size:12.0pt; line-height:130%;font-family:"Times New Roman",serif;mso-bidi-font-style:italic"> Relevant history, clinical examination & laboratory investigations of patients (>15yrs) with thyroid nodule/s was taken & recorded. All the patients were subjected to thyroid gland USG scan on Logiq 500 pro (GE system, USA) high frequency (8-11MHz) linear array transducer. Findings were correlated with pathological diagnosis on FNAC/ HPE.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;text-justify:inter-ideograph;line-height:130%;mso-layout-grid-align: none;text-autospace:none"><span style="font-size:5.0pt;mso-bidi-font-size:12.0pt; line-height:130%;font-family:"Times New Roman",serif;mso-bidi-font-style:italic"> </span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;text-justify:inter-ideograph;line-height:150%;mso-layout-grid-align: none;text-autospace:none"><b><span style="font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif; mso-bidi-font-style:italic">Results: </span></b><span style="font-size:12.0pt; line-height:150%;font-family:"Times New Roman",serif">Out of 30 cases studied, based on combined gray scale USG & Color Doppler features, 18 cases were diagnosed as benign & 12 cases were diagnosed as malignant. On pathological examination, 22 cases were proved with benign nodules & 8 cases were diagnosed with malignant nodules on FNAC/ HPE. In 17 benign & 7 malignant cases, provisional sonographic & Color Doppler diagnosis correlated well with pathological findings on FNAC/ HPE. In remaining 5 cases provisionally diagnosed as malignant & 1 patient provisionally diagnosed as benign, the sonographic diagnosis did not correlate with pathological diagnosis on FNAC/ HPE. These 5 provisionally diagnosed as malignant on USG were proved benign in nature &1 case provisionally diagnosed as benign was proved with malignant etiology on FNAC/ HPE.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;text-justify:inter-ideograph;line-height:150%;mso-layout-grid-align: none;text-autospace:none"><span style="font-size:2.0pt;mso-bidi-font-size:12.0pt; line-height:150%;font-family:"Times New Roman",serif"> </span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;text-justify:inter-ideograph;line-height:150%;mso-layout-grid-align: none;text-autospace:none"><b><span style="font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif; mso-bidi-font-style:italic">Conclusion: </span></b><span style="font-size:12.0pt; line-height:150%;font-family:"Times New Roman",serif;mso-bidi-font-style:italic">Combined gray scale sonography with Color Doppler features has higher sensitivity, specificity & accuracy in differentiating benign & malignant thyroid nodules.<o:p></o:p></span></p>
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Cite This Article:
Dr. Nancy Jindal, Dr. Aditi Vohra, Dr. Amit Mittal, Dr. Harneet Narula, SONOGRAPHIC & COLOR DOPPLER EVALUATION OF THYROID NODULE/S AND ITS CORRELATION WITH FNAC/ HPE FINDINGS, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-6, Issue-3, March‾2017