MALIGNANCY IN MULTINODULAR GOITER-POST THYROIDECTOMY: A PROSPECTIVE STUDY

Fizza Naeem; Sayed Nusrat Raza; Taimoor Ashraf Khan

doi:10.51253/pafmj.v71i1.4653

Authors

Fizza Naeem Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sayed Nusrat Raza Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Taimoor Ashraf Khan Headquarters Ghazaband Scouts, Frontier Corps, Balochistan Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i1.4653

Keywords:

Incidental thyroid carcinoma, Multinodular goiter, Thyroidectomy, Thyroid cancer, Fine needle aspiration cytology, Malignant thyroid carcinoma

Abstract

Objective: To find out the frequency and types of malignancy in patients treated surgically for nontoxic
multinodular goiter and its correlation in different age groups and gender.

Study Design: Cross-sectional study.

Place and Duration of Study: Department of ENT, Combined Military Hospital Rawalpindi, from Dec 2018 to
Dec 2019.

Methodology: A total of 116 patients operated for nontoxic multinodular goiter were included in the study.
Demographic details along with pre-op Ultrasonography findings, Fine Needle Aspiration Cytology, thyroid
function test results and post-op histopathological reports of the thyroid specimen were entered on pre-designed proforma. Results were analyzed using the Statistical Package for Social Sciences (SPSS) Version 22.

Results: Age ranges from 19 to 70 years (mean 43.51 years). Out of 116 cases operated for multinodular goiter,
37 (31.8%) had malignant thyroid lesions (13 males, 24 females). Papillary carcinoma of the thyroid (45.9%) was
the commonest malignancy followed by a follicular variant of papillary carcinoma (24.3%). The most common age group with malignancies was 49-58 years.

Conclusion: Malignant Thyroid cancers showed a female preponderance and were most common in age group
49-58 years. Papillary carcinoma of thyroid was the commonest tumor. Radical thyroid surgery is a recommended surgical management option for nontoxic Multinodular goiter.