THYROMEGALY – OUR EXPERIENCE

Thyroid swelling is also called as Goitre. It can occur both in males and females ,with preponderance in the later . Most of the thyroid swellings are benign ,but nearly 5 % can be malignant .The main aim of a surgeon is to rule out malignancy and decide whether to manage medically or go forward with surgery. This article can allow us to have an insight of various thyroid diseases and their management protocols. Results: In our study Multinodular goitre was commonly observed in females. Multinodular goitre is commonly observed in 3rd decade of life. Conclusion: In most of the cases one can diagnose number of nodules clinically. However ultrasonography has an important role in detecting actual number of nodules. This information is very essential for further investigations and necessary management. Pre operative evaluation with ultrasound and FNAC can minimize the extent of surgery to be performed. Hemi thyroidectomy, subtotal and near total thyroidectomy are the safe surgical procedures than total thyroidectomy to prevent the permanent post surgical complications. Malignancy can still come as a surprise on postoperative histopathological examination which is dealt by completion thyroidectomy and post op irradiation.