Abstract
Background: Thyroid swellings are commonly encountered in the surgical practice and accurate preoperative evaluation of thyroid disorder becomes mandatory for proper management of the patient and to avoid unnecessary surgery. Objective: This study designs to evaluate the clinico-radiological, cyto-histopathological findings, and the accuracy of fine needle aspiration cytology (FNAC) procedure in various thyroid lesions. Materials and Methods: This prospective study comprises total 147 cases with thyroid lesions referred to cytology lab- oratory, and gland morphology studied by ultrasonography (USG). FNAC, FNC, and cyst fluid methods were used for specimen collection. Result: USG examination of thyroid lesions is a more accurate and sensitive diagnostic modality to detect thyroid nod- ularity. The overall sensitivity and specificity in our study was 83% and 96.42%, respectively, and accuracy of the FNAC in comparison with histopathological examination was 93.8%, and 81.64% thyroid FNACs were cytologically benign, and colloid goiter occupies 58.5%. Conclusion: The procedure has acceptable sensitivity and specificity in a wide range of patients in the experienced hands and hence, can be followed as a preoperative diagnostic modality in the management of patients with thyroid lesions, thus reducing the number of surgeries.