Abstract

ABSTRACT :
BACKGROUND:
A common problem facing the surgeon and the pathologist is evaluation of patient with apparently single thyroid nodule.
PATIENTS AND METHOD:
Over the period from August 1996 to September 1998 , (152 patients) with clinically solitary thyroid nodules were seen in the medical city , only 72 0f them proved to be single ,cold and cystic nodule and included in this study .
RESULT:
F.N.A.C was done for all patients (72),(57) patients of them were benign ,(6)patients were malignant or suspicious and(9) patients with indeterminate aspirit .pure spirit (ethanol injection into thyroid nodule was done in only 60 patients ) ,42 patients (70%) with benign nodule were successfully treated with aspiration and spirit injection , 24 patients (40%) of them had complete disappearance of nodule, 18 patients (30%)had more than 50% reduction in the size of the nodule ,in 18 patients no significant reduction .
CONCLUSION:
All patients with solitary thyroid nodule should undergo F.N.A.C. to role out malignancy. Cold benign cystic thyroid nodules were successfully treated in 70% of cases , only 3% recurrence was observed .complication requiring hospitalization were not reported .