Comparative study of FNAC and histopathology in the diagnosis of thyroid swelling

Md Shafiqul Islam, Belayat Hossain Siddiquee, Nasima Akhtar, Kazi Shameemus Salam, Mohammad Aktaruzzaman

Abstract

The objective of this study was to determine the efficacy of fine needle aspiration cytology in
diagnosis and management of thyroid swelling. The study evaluated the predictive value of
Pre operative fine needle aspiration cytology (FNAC) in surgical decision making, by comparing
this (FNAC) with the post operative histopathological diagnosis.
Ninety patients who underwent thyroidectomy between Jan-2007 to Dec-2008 were analysed
in the department of Otolaryngology and Head-Neck Surgery, Bangabandhu Sheikh Mujib
Medical University, Dhaka. All the patients underwent pre operative FNAC were included in
this study.
FNAC was accurate in 85 (94.44%) patients. Failure were mainly noted in cases of follicular
neoplasm (lesion). Our result indicates that FNAC is helpful in the diagnosis and surgical
planning of thyroid swelling. However, histopathological analysis is still remaining essential to
distinguish follicular adenoma from follicular carcinoma.

Key words: FNAC; Histopathology; Thyroid swelling

DOI: 10.3329/bjo.v16i1.5779

Bangladesh J Otorhinolaryngol
2010; 16(1): 35-43

Keywords

FNAC; Histopathology; Thyroid swelling
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