Histomorphological pattern of thyroid lesions: A prospective study

Background: Thyroid disorders are the commonest endocrine disorders worldwide. 15–20% of the thyroid nodules are indeterminate on cytological results. The definite diagnosis of these nodules is provided by examination of thyroidectomy. Objective: Aim was to describe various histomorphological patter...

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Main Authors: Shruthi Shruthi, Praveen Kumar Ram Bhat, Parvathi S. Jigalur
Format: Article
Language:English
Published: Al Ameen Medical College 2022-07-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:http://ajms.alameenmedical.org/ArticlePDFs/9%20AJMS%20V15.N3.2022%20p%20222-226.pdf
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author Shruthi Shruthi
Praveen Kumar Ram Bhat
Parvathi S. Jigalur
author_facet Shruthi Shruthi
Praveen Kumar Ram Bhat
Parvathi S. Jigalur
author_sort Shruthi Shruthi
collection DOAJ
description Background: Thyroid disorders are the commonest endocrine disorders worldwide. 15–20% of the thyroid nodules are indeterminate on cytological results. The definite diagnosis of these nodules is provided by examination of thyroidectomy. Objective: Aim was to describe various histomorphological patterns of thyroid lesions and their frequency in relation to age and sex of the patients. Material and methods: A prospective cross-sectional study was carried out on all thyroidectomy specimens received in the department of Pathology from July 2015 to June 2017. A total of 110 specimens were included in the study. Statistical analysis: Statistical analysis was carried out using SPSS (version 14) software. Descriptive analysis was performed using frequencies and percentages. Results: Thyroid diseases were predominantly seen in females. Peak age of presentation was 3rd to 5th decade. Out of 110 cases studied, 77 cases (70%) were non neoplastic lesions and 33 cases were (30%) neoplastic lesions. Adenomatous goiter was the most common nonneoplastic lesion (84.41%) followed by Hashimoto thyroiditis (11.68%). Among neoplastic lesions, malignant neoplasms (23 cases, 69.69%) were more common than benign neoplasm (9 cases, 27.27%). Borderline neoplasm was seen in 3.03% (1 case). Papillary carcinoma was the most common malignant neoplasm (78.26%), which was predominantly seen in females (94.44%) and most common age of presentation was in 3rd to 4th decade (66.66%). Overall, the most common lesion was adenomatous goiter (59.09%) followed by papillary carcinoma (16.36%), Hashimoto’s thyroiditis (8.18%) and follicular adenoma (7.27%). Conclusion: Histopathological examination plays a major role in definitive diagnosis of thyroid lesions. Adenomatous goiter was the most common lesion followed by Papillary carcinoma which suggests increasing prevalence of thyroid malignancy in the population.
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spelling doaj.art-552d024f24964cbabf5918fc18c6f1e12022-12-22T03:01:00ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432022-07-011503222226Histomorphological pattern of thyroid lesions: A prospective studyShruthi Shruthi0Praveen Kumar Ram Bhat1Parvathi S. Jigalur2Department of Pathology, K.S. Hegde Medical Academy, Nitte (Deemed to be university), P.O Deralakatte, Mangaluru-575018, Karnataka, IndiaDepartmet of Surgery, K.S. Hegde Medical Academy, Nitte (Deemed to be university), P.O Deralakatte, Mangaluru-575018, Karnataka, IndiaDepartment of Pathology, Karnataka Institute of Medical Sciences , Vidya Nagar, Hubli-580021, Karnataka, IndiaBackground: Thyroid disorders are the commonest endocrine disorders worldwide. 15–20% of the thyroid nodules are indeterminate on cytological results. The definite diagnosis of these nodules is provided by examination of thyroidectomy. Objective: Aim was to describe various histomorphological patterns of thyroid lesions and their frequency in relation to age and sex of the patients. Material and methods: A prospective cross-sectional study was carried out on all thyroidectomy specimens received in the department of Pathology from July 2015 to June 2017. A total of 110 specimens were included in the study. Statistical analysis: Statistical analysis was carried out using SPSS (version 14) software. Descriptive analysis was performed using frequencies and percentages. Results: Thyroid diseases were predominantly seen in females. Peak age of presentation was 3rd to 5th decade. Out of 110 cases studied, 77 cases (70%) were non neoplastic lesions and 33 cases were (30%) neoplastic lesions. Adenomatous goiter was the most common nonneoplastic lesion (84.41%) followed by Hashimoto thyroiditis (11.68%). Among neoplastic lesions, malignant neoplasms (23 cases, 69.69%) were more common than benign neoplasm (9 cases, 27.27%). Borderline neoplasm was seen in 3.03% (1 case). Papillary carcinoma was the most common malignant neoplasm (78.26%), which was predominantly seen in females (94.44%) and most common age of presentation was in 3rd to 4th decade (66.66%). Overall, the most common lesion was adenomatous goiter (59.09%) followed by papillary carcinoma (16.36%), Hashimoto’s thyroiditis (8.18%) and follicular adenoma (7.27%). Conclusion: Histopathological examination plays a major role in definitive diagnosis of thyroid lesions. Adenomatous goiter was the most common lesion followed by Papillary carcinoma which suggests increasing prevalence of thyroid malignancy in the population.http://ajms.alameenmedical.org/ArticlePDFs/9%20AJMS%20V15.N3.2022%20p%20222-226.pdfthyroidectomyhistopathologyneoplastic lesionnon neoplastic lesion
spellingShingle Shruthi Shruthi
Praveen Kumar Ram Bhat
Parvathi S. Jigalur
Histomorphological pattern of thyroid lesions: A prospective study
Al Ameen Journal of Medical Sciences
thyroidectomy
histopathology
neoplastic lesion
non neoplastic lesion
title Histomorphological pattern of thyroid lesions: A prospective study
title_full Histomorphological pattern of thyroid lesions: A prospective study
title_fullStr Histomorphological pattern of thyroid lesions: A prospective study
title_full_unstemmed Histomorphological pattern of thyroid lesions: A prospective study
title_short Histomorphological pattern of thyroid lesions: A prospective study
title_sort histomorphological pattern of thyroid lesions a prospective study
topic thyroidectomy
histopathology
neoplastic lesion
non neoplastic lesion
url http://ajms.alameenmedical.org/ArticlePDFs/9%20AJMS%20V15.N3.2022%20p%20222-226.pdf
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AT praveenkumarrambhat histomorphologicalpatternofthyroidlesionsaprospectivestudy
AT parvathisjigalur histomorphologicalpatternofthyroidlesionsaprospectivestudy