Importance of Fine Needle Aspiration in Evaluation of Single Nodular Goiter

Saadeldin  A. Idris; Mohammed  H. Shalayel; Mohammed  Suleiman Ali; Ahmed  Qurashi Ali

doi:10.52981/sjms.v4i3.904

Saadeldin A. Idris Faculty of Medicine, Western Kordufan University, Elnihood, Sudan
Mohammed H. Shalayel National College for Medical and Technical Studies, Khartoum, Sudan
Mohammed Suleiman Ali Elribat National University hospital, Department of Surgery, Khartoum, Sudan
Ahmed Qurashi Ali Elribat National University hospital, Department of Surgery, Khartoum, Sudan

DOI: https://doi.org/10.52981/sjms.v4i3.904

Keywords: Thyroid, Single nodule, Malignancy

Abstract

Background: Improvements in the sensitivity and specificity of biochemical thyroid tests, as well
as the development of fine needle aspiration biopsy (FNA) and improved cytological techniques,
have dramatically impacted clinical strategies for detecting and treating thyroid disorders.
Fine needle aspiration is a safe and relatively painless procedure where a hypodermic needle passed
into the lump and samples of tissue taken out. This procedure will provide us with more information
about the nature of the lump, and especially differentiate between a benign and malignant mass.
Objectives: The current prospective study designed to evaluate the sensitivity, specificity and
accuracy of FNA. The study was performed in the regional major hospital, Khartoum, Sudan.
Patients and methods: A thousand and three hundred thirty one patients who underwent thyroid
surgery 'between' January 2004 to June 2007 were enrolled.
Results: 247 (18.3%) had single nodular goiter. The incidence of benign and malignant lesions in
single nodular goiter were 204 (87.6%) and 29 (12.4%) respectively. The overall sensitivity,
specificity and accuracy of FNA were 95.5%, 99.5% and 99.4% respectively.
Conclusion: Also there is correlation between the nodule size and the result of FNA, as the nodular
size increase there is increase of the probability of malignant changes. So, solitary or dominant
nodules ≥ 1cm in diameter might be evaluated by FNA.

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