Solitary cold thyroid nodule [SCTN] is a common clinical occurrence. In this study, 1029 euthyroid Egyptian patients with SCTN were retrospectively analyzed. All patients were diagnosed by FNAC.
Of these cases, 312 were found to undergo a surgical excisional procedure and histopathological examination. According to the postoperative histopatological findings of the operated cases, the efficancy of FNAC was assessed and the role of surgery in managment of this disease was evaluted. Also, the prevalence of the various pathological lesions that contributed to SCTN was verified. The study showed that the mean sensitivity, specificity and accuracy of FNAC in this study were 92.3%, 98.2% and 98.6% respectively. In order ro correct for the fallacies of FNAC, an equation was postulated and applied in this study. With this equation, the various lesions which used SCTN were as follows: follicular adenoma [60.5%], adenomatous goiter [17.8%], thyroiditis [6.8], papillary carcinoma [5.4%], follicular carcinoma [2.9%], undifferentiated carcinoma [1.7%], Medullary carcinoma [1.8%] . hurthle Tumor [1.9%], lymphoma [1%] and insular carcinoma [0.2%] . With an efficuent cytopothologist total thyroidectomy is justified for cases with FNAC-diagnosis of follicular tumors. However, with benign non-neoplastic lesions a conservative follow up policy is preferred. But if surgery is indicated for these cases, humithyroidectoy is a better option than subtotal thyroidectomy
Mohamed M. Moneer ,Mohamed M. Moneer ,Mounir El Didi ,Omar Abdel Alim ,Gamal Emira ,AHmed Fahmy ,Nagwa Hasan ,Hala Abdel Khalek ,
Solitary cold nodule: to operate or note? and what operation to do? a retrospective analysis of 1029 urban Egyptian patients,
Egypt. J. ENT. Allied Sci. 2003;
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