%0 Journal Article
%T Role of fine-needle aspiration cytology & ultrasound in the management of solitary thyroid nodule
%J -
%D 2019
%R 10.4038/cjo.v8i1.5289
%X Objectives To evaluate the effectiveness of fine-needle aspiration cytology (FNAC) & ultrasound scanning (US) in the diagnosis and management of solitary thyroid nodules.  Materials & Methods A retrospective study was carried out on 63 patients who were euthyroid and had a clinically palpable solitary thyroid nodule, who underwent either total or hemi-thyroidectomy, during a period of two years (January 2018 to December 2019) in the ENT unit of a tertiary care hospital in Sri Lanka. All patients with FNAC of Bethesda ¡Ý5 underwent total thyroidectomy. Diagnostic hemi-thyroidectomy was performed only in patients with a FNAC of Bethesda ¡Ü4, irrespective of US suspicious features.  Results Mean age was 46.9 years (¡À13.2). 53(84.1%) patients were females and 10 (15.9%) of them were male. 28(44.4%) patients had histologically proven malignancy while the other 35(55.6%) had benign histology. Sensitivity, specificity, positive predictive values and negative predictive values for FNAC and ultrasound were calculated. Out of 34 patients who underwent diagnostic hemi-thyroidectomy, 12(35%) had to undergo completion surgery due to malignant histology. 58% who underwent completion surgery had suspicious features of malignancy in their pre-op US.  Conclusio
%K Solitary thyroid nodule
%K FNAC
%K Ultrasound
%K Thyroid malignancy
%K Hemi-thyroidectomy
%U https://cjo.sljol.info/articles/10.4038/cjo.v8i1.5289/