Medical Science
Volume 24, Issue 105, September - October, 2020
Outcome of total thyroidectomy in non-malignant solitary thyroid nodule by FNAC
Yahya Zakaria Mohamed Ali Abou El-Wafa1♦, Hisham Mohamed Omran2, Ahmed Yasser Elrifai3, Nafissa El-Badawy4, Mahmoud Ahmed El-Shafei5
1Assistant Lecturer, Department of General SurgeryAin shams University, Egypt
2Assistant Professor, Department of General Surgery Ain shams University, Egypt
3Lecturer, Department of General Surgery Ain shams University, Egypt
4Professor, Department of pathology Ain Shams university, Egypt
5Professor, Department of General Surgery Ain shams University, Egypt
♦Corresponding author
Assistant Lecturer, Department of General SurgeryAin shams University, Egypt; Email: yza90@hotmail.com
ABSTRACT
Introduction: Solitary Thyroid Nodules (STN) are a common entity and is detected in approximately 5% to 7% of the adult population
by physical examination alone. 7 to 15% of thyroid nodules are harbor cancer. In this study, we will evaluate the outcome of total
thyroidectomy in non-malignant STN by FNAC as regards to the histopathological results and post-operative complications. Patients
and methods: This is a prospective randomized control trial study conducted in Ain Shams university hospitals, 30 patients with nonmalignant
STN by FNAC with a minimal follow up of 12 month after undergoing total thyroidectomy. Results: On FNAC, 18 (60%)
were benign, 10 (33.3%) were follicular lesion and 2 (6.7%) were Atypia of undetermined significance. complications 5 cases were
complicated (16.7%) post operatively. On the final histopathology, 2 cases (6.7%) were confirmed to be malignant both were
papillary carcinoma. In Addition, three cases (10%) were found to be hurthle cell tumor. Conclusion: Total thyroidectomy seems to be
a safe and reliable option for managing patients with solitary thyroid nodules by FNAC as it has low complication rate in
experienced hands. Moreover, it obviates the need for completion thyroidectomy.
Keywords: Solitary Thyroid Nodules, thyroidectomy, tumor, follicular lesion, Fine Needle Aspiration Cytology
Medical Science, 2020, 24(105), 3113-3120
