Clinical Assessment of Different Types of Neck Swellings and Correlation Between Fnac and Histopathology of Neck Swellings

Background: Neck swelling is a common clinical presentation among the patients attending ENT clinics. If not managed properly, neck swelling can cause specific morbidity and mortality. Among the neck swellings, thyroid swelling is the commonest one. Aims & Objectives: Clinical assessment of different types of neck swellings and correlation between FNAC and histopathology of neck swellings. Methods: In this prospective observational study a profile of 60 patients attending the ENT OPD of SMHS hospital, Srinagar from November 2021 to November 2022. The sample size was taken according to convenience sampling.Thorough history of the patients who presented with neck swelling was taken followed by clinical examination which includes number,size,site consistency,mobility on palpation and deglutition, surface texture and tenderness of the thyroid swelling. Ultrasonography of thyroid gland and thyroid hormone profile was done in all thyroid swellings.Statistical Analysis: Positive predictable value for thyroid swellings was calculated as TP/ TP + FP * 100 = 57/57 +2 * 100 = 96.6%, where TP is true positive and FP is false positive. Conclusion:We found the FNAC test to be very reliable test in thyroid swellings with high sensitivity and specificity.