Is fine needle aspiration thyroid cytology (THY status) a good prognostic indicator of definitive histological diagnosis?

Although recently published research has focused on the addition of ultrasound scan findings to the evaluation of the thyroid gland, FNAC has long been the corner stone of thyroid lesion decision making. In our study population of 100 thyroidectomies we found out of those who had a cytological diagnosis of Thy 2 and underwent thyroidectomy due other compounding factors 8.57% of the had malignancy reported in their final histology report. We also found that a Right-sided solidarity thyroid nodule in a male may be an increased risk factor for malignancy. We highly recommend addition of USS staging to be included in decision making especially in benign lesions as there is still a significant risk of malignancy.