CYTOLOGICAL, ULTRASOUND AND BIOCHEMICAL CORRELATION IN HASHIMOTO’S THYROIDITIS, FARIDABAD, INDIA: A RETROSPECTIVE CROSS-SECTIONAL ANALYSIS.

Authors

  • Malika Mehta Aggarwal Assistant Professor, Department of Pathology, Al-Falah School of Medical Sciences & Research Centre, Dhouj, Faridabad, Haryana, India
  • Dhruv Aggarwal Assistant Professor, Department of Radiology, Al-Falah School of Medical Sciences & Research Centre, Dhouj, Faridabad, Haryana, India
  • Pearl Aggarwal  Internal Medicine Resident, Internal medicine, University hospitals, St John Medical Center, Westlake, Ohio, USA

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1085

Keywords:

Fine needle aspiration cytology, Hashimoto’s thyroiditis, Ultrasonography

Abstract

Background

Hashimoto’s thyroiditis, an autoimmune disorder that impairs thyroid hormone production via antibody-mediated destruction of thyroid cells, affects women more frequently and presents symptoms like weight gain and fatigue. This study investigates the correlation between cytomorphological, biochemical, and radiological findings in diagnosing this condition, utilizing Fine Needle Aspiration Cytology (FNAC) as a key diagnostic tool.

Materials and methods

A retrospective analysis of cytological, radiological, and biochemical parameters was done for 84 patients who underwent FNAC for Hashimoto’s Thyroiditis. The blood concentration of thyroid hormones was evaluated by the Thyroid Function Test (TFT). Thyroid ultrasound was done using a high-frequency linear ultrasound transducer.

Results

This study found Hashimoto's thyroiditis more common in females (95%) and primarily in those aged 20-40 years. Biochemical hypothyroidism (Thyroid function test) was observed in 50% of the selected patients, euthyroidism was observed in about 43% of the patients, and hyperthyroidism was observed in 7 % of the patients. Cytological findings showed mild, moderate, and dense lymphocytic infiltration in 32.15%, 41.66%, and 26.20% of patients across Grades I, II, and III, respectively. Moreover, 51% of the patients were affected with diffuse thyroiditis, 35% of the patients were affected with goiter, 8% of the patients were affected with thyroid nodules, and the remaining 6% of the patients were seen to be normal in the ultrasound findings.

 Conclusion

Hashimoto’s thyroiditis, characterized by reduced thyroid hormone production, links elevated biochemical results to higher grades in cytology. Early detection is possible through diffuse thyroiditis, even before clinical symptoms emerge.

 Recommendation

For early detection and precise staging of Hashimoto’s Thyroiditis, integrating cytomorphological, biochemical, and radiological diagnostics is advised. Future research should aim at refining treatment strategies based on these findings.

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Published

2024-03-31

How to Cite

Aggarwal, M. M. ., Aggarwal, D., & Aggarwal, P. . (2024). CYTOLOGICAL, ULTRASOUND AND BIOCHEMICAL CORRELATION IN HASHIMOTO’S THYROIDITIS, FARIDABAD, INDIA: A RETROSPECTIVE CROSS-SECTIONAL ANALYSIS. Student’s Journal of Health Research Africa, 5(3), 7. https://doi.org/10.51168/sjhrafrica.v5i3.1085

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Section

Section of Pathology, and Histopathology