Comparative Study Between Fnac, Tirad And Post Operative Histopathology In Assessment Of Thyroid Nodule

Authors

1 Department of Onco-Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

2 Department of Pathology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

3 Department of General Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Abstract

Background: One of the surgeries in general surgery that is most regularly carried out is a thyroidectomy. The risks of complications following thyroid surgery have significantly decreased,  partly due to the development of new technologies as harmonic scalpel and ligasure that aim to further reduce morbidity. The goal is to compare the Bethesda FNAC method and sonographic criteria as tools for evaluating indeterminate thyroid nodules, with the results being compared to the final histology. Methods: Ninety individuals with thyroid nodules participated in this prospective trial at El-Hussein Hospital and Sayed Galal University Hospital. Results: The patients' ages ranged  between 25 and 60 years. Among the 90 patients, 75 (83.33%) of them were female, whereas 15 (16.67%) had masculine characteristics such as a Tatio of 5:1, a TSH mean SD (2.82 1.34), and FNAC sensitivity. accuracy & specificity 93%, 98%, 96.6%. 72.4%, 90%, 88.2% for USS sensitivity, specificity, and accuracy. The average operating duration was 82.17 minutes, and most patients stayed in our hospital for one to two days following surgery. Most people didn't have any issues. ConclusionIn our research, it was discovered that FNAC and USG have a rising specificity. Ultrasound and fine-needle aspiration cytology (FNAC) are two such diagnostic methods, however using both together is optimal and will help avoid unnecessary surgery for many people. There is currently no test that can reliably determine whether or not a nodular goitre is cancerous.

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