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Clinico-pathological correlates of incidentally revealed thyroid swelling in Bihar, India.
MedLine Citation:
PMID:  22368398     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Global prevalence of thyroid cancer has been on the rise in recent decades.
OBJECTIVES: To study the clinical presentations to reach an agreement for diagnosis and optimal management of incidentally revealed thyroid swellings for early diagnosis.
MATERIALS AND METHODS: A prospective study was carried out on 178 cases of incidentally detected thyroid swelling attending a tertiary care teaching institute of Kishanganj Bihar. All the cases were subjected to a thorough clinical examination followed by evidence-based interventions. Fine needle aspiration cytology was done in all the cases preoperatively as out-patients basis and histopathologically confirmed postoperatively.
RESULTS: The highest incidence of thyroid swelling (75.84%) was found in the age group of 20-40 years; a female preponderance was noted in the ratio 4:1. The duration of swelling ranged from six months to three years. Difficulty in swallowing and breathing was complained by 23 (12.9%) and 18 (10.1%) of the patients respectively. Typically the swellings were located in the right lobe. Commonly the subjects in our study were in euthyroid state (90%) and were with firm swellings (66.7%). Follicular and anaplastic carcinoma was important postoperative cytological findings. Majority of surgical intervention was hemithyroidectomy (55.06%).
CONCLUSION: Incidentally revealed thyroid swelling was quite high in eastern India for which we need a consensus line of intervention.
Authors:
Arup Sengupta; Ranabir Pal; Sumit Kar; Forhad Akhtar Zaman; Mausumi Basu; Shrayan Pal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pharmacy & bioallied sciences     Volume:  4     ISSN:  0975-7406     ISO Abbreviation:  J Pharm Bioallied Sci     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-02-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101537209     Medline TA:  J Pharm Bioallied Sci     Country:  India    
Other Details:
Languages:  eng     Pagination:  51-5     Citation Subset:  -    
Affiliation:
Department of Otorhinolaryngology, M.G.M. Medical College, Kisanganj, Bihar, India.
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