Comparative study between FNAC & histopathology in thyroid swelling

Thyroid swelling was found in different clinical presentation and demographic characteristics. FNAC of thyroid swellings is a simple, rapid, patient friendly and inexpensive procedure, which can be repeated in cases of inadequate samples. To comparison of FNAC & histopathology in thyroid swelling. The study was conducted at Shaheed Suhrawardy Medical College Hospital, Dhaka, Dhaka during the period of July 2019 to June 2021. The diagnosis of thyroid swelling was based on detailed history, thorough clinical examination and relevant investigations and fine needle aspiration cytology (FNAC). All the patients were undergone surgical management and the outcomes were recorded. A total number of 100 patients were recruited for this study. This study shows age of the patients ranged from 18 years to 64 years. The highest number of cases (34%) belongs to the age group of 31 to 40 years followed by 21% in the age group of 21 to 30 years. Female were higher in frequency (94%) than male (6%). Most of the patients (94%) were from poor socio-economic status. The most common indication was nodular goiter (81%) followed by 13% were papillary carcinoma, 4% follicular adenoma and medullary (2%). In this study most of the findings showed benign (88%). It was observed that sensitivity by FNAC to be 88.3%, the specificity was 58.3%, the PPV was 93.8% and NPV was 41.1%. The present study indicates that FNAC in providing a more accurate diagnosis of thyroid swelling. So, performing FNAC in all possible cases of thyroid lesions would be of immense help.