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Malignancy in a Solitary Thyroid Nodule: A Retrospective Histopathological Evaluation
1Department of Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia.
International Journal of General Medicine
|January 22, 2024
Summary
Solitary thyroid nodules found in adults undergoing surgery have a 31% malignancy rate. Papillary carcinoma is the most common malignant type, emphasizing the need for thorough evaluation of these nodules.
Area of Science:
- Endocrinology
- Oncology
- Surgical Pathology
Background:
- Solitary thyroid nodules are common clinical findings.
- Accurate diagnosis is crucial for appropriate management.
- Malignancy rates vary, necessitating further investigation.
Purpose of the Study:
- To determine the prevalence and types of malignancy in patients with solitary thyroid nodules undergoing surgery.
- To evaluate the histopathological findings of surgically resected solitary thyroid nodules.
Main Methods:
- Retrospective review of adult patients with solitary thyroid nodules who underwent thyroid surgery between January 2019 and October 2022.
- Ultrasonography was used for initial nodule identification.
- Pathological diagnosis was confirmed through electronic records.
Main Results:
- A total of 42 patients underwent surgery for solitary thyroid nodules.
- The average age was 39.1 years, with 76.2% being female.
- The overall malignancy rate was 31%, predominantly papillary carcinoma.
Conclusions:
- Solitary thyroid nodules present a significant risk of malignancy.
- A high index of suspicion and thorough evaluation are recommended for solitary thyroid nodules.
- Surgical intervention provides definitive pathological diagnosis for these nodules.
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