DOI: 10.36347/sjams.2017.v05i05.035

Pages: 1888-1891

Solitary nodule of thyroid has increased in incidence in the present day as compared to two decades earlier. Because of possibility of malignancy, some clinicians especially those in surgical subspecialties recommended that all thyroid nodules have to be removed. Objectives of the Study: To determine the incidence of adenoma, carcinoma and thyroiditis as a cause of solitary nodule of thyroid in Thirunelveli Medical College Hospital (TvMCH), Tirunelveli. The study of minimum 50 cases selected by Random Sampling Technique of those admitted to surgical ward of Tvmch, Tirunelveli during the period of September 2014-August 2015. Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations, operative findings, histopathological report and follow up of cases. The common causes of solitary nodule were MNG (36%), follicular adenoma (22%) adenomatous goiter (24%), 94% of cases presented with Euthyroid state. Incidence of malignancy in solitary thyroid nodule was 12%. Male to female ratio in case of malignant nodule was 1:5. Incidence of carcinoma in males presenting as solitary nodule was higher (25%) compared to that females (10.87%). The most common cause of malignancy was papillary carcinoma (67%) followed by follicular carcinoma (33%). Common cause of solitary nodule of thyroid are MNG, follicular adenoma and adenomatous goiter. Incidence of malignancy in male patients presenting with solitary nodule of thyroid is more when compared to female. The most common cause of malignancy in solitary nodule is papillay carcinoma followed by follicular carcinoma.