University of Khartoum

Solitary Thyroid Nodule in Khartoum.

Solitary Thyroid Nodule in Khartoum.

Show simple item record Elhassan, Ahmed M 1996 2015-11-29T11:16:27Z 2015-11-29T11:16:27Z 2015-11-29 2015
dc.description.abstract Ninety four patients with solitary and significantly dominant thyroid nodules were studied. Inadequate sampling was reported in 5 patients (5.9%). In the remaining 89 patients, 64 had simple goitre (72%), 12 follicular adenoma (13.5%), 12 were malignant nodules (6 follicular, 5 papillary and one anaplastic) (13.5%) and one patient had Hashimoto's thyroiditis. The incidence of malignancy in the clinically solitary nodules was 14% (10/70) compared to 10% (2/19) for the dominant nodules which increased to 16% (8/49) versus 10% (4/40) respectively after ultrasonography and histopathological confirmation of the nature of the gland. There is a low positive predictive value for follicular neoplasm with fine needle aspiration cytology (FNAC) (44%). This is due to the fact that reports of suspicious follicular pattern is agreed not to imply definite malignancy, however total lobectomy was done for those patients whereas terms like "not suspicious" and "highly suspicious" are considered to mean, benign and malignant respectively and in those latter groups the prediction was 100%. The study stresses the importance of FNAC techniques in reducing the surgical load with minimal false negative results, increasing the yield of carcinoma and projecting the importance of a significantly dominant nodule in endemic areas en_US
dc.language.iso en en_US
dc.publisher Europe PubMed Central en_US
dc.subject Khartoum en_US
dc.subject Solitary thyroid en_US
dc.subject nodule en_US
dc.title Solitary Thyroid Nodule in Khartoum. en_US
dc.type Publication en_US
dc.Faculty Endemic Diseases en_US

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