EVALUATION OF GOITERS - A COMPARISON OF PALPATION AND ULTRASONOGRAPHY IN ASSESSMENT OF ENLARGED THYROID GLAND

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Abstract

ABSTRACT
Objective: To determine the concordance rate in findings obtained on palpation and ultrasonography in assessment
of goiters.
Methodology: This prospective study was conducted at the Departments of ENT and Head & Neck Surgery, Hayatabad
Medical Complex, Peshawar from October 1, 2013 to December 31, 2014. A total of 350 patients with suspected and
overt thyroid gland enlargement were included in the study. For the sake of comparison, the findings on palpation and
ultrasonography were categorized each into; normal, diffuse hypertrophy, solitary thyroid nodule (STN) and multinodular
goiter (MNG). The findings of clinical examination / palpation were compared with those of ultrasonography and the
rate of concordance between the two modalities was calculated.
Results: The study included 350 patients; 74 males and 276 females. The M: F ratio was 1:3.73. The age range was 15
to 75 years with mean age of 34.47years and a standard deviation of +/-12.264. There were 49.4% MNGs and 29.4%
STN as determined by palpation during physical examination Ultrasonographic examination revealed MNGs in 75% and
STNs in 12% of the cases. The comparison of the two modalities showed a concordance rate of 58% in the findings of
ultrasonography and palpation during physical examination.
Conclusions: Neck palpation as primary screening modality in assessment of the thyroid gland gives limited information
regarding its true nature. Ultrasonography is quick non invasive technique and gives valuable information about

Authors: 
Rashid Aslam2
Khurshid Anwar1
Habib ur Rehman1
Muneeb Khan1
Isteraj Shahabi1

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