Histopathological spectrum of surgically treated goiters in Muzaffarabad

Background: huge population of azad jammu and kashmir is suffering from thyroid enlargement and it is not uncommon in hilly area of muzaffarabad division. aim: to evaluate the histopathological spectrum of operated goiters in muzaffarabad. methods: a total of 283 cases were operated,243 were female,and 37 were male. the patients with goiters admitted through surgical outpatient clinical in abbas institute of medical sciences. elective surgery was performed on all the patients and the labeled specimens were sent to aga khan laboratory,armed forces medical institute histopathological department and pathology department of ak cmh muzaffarabad in collaboration with department of pathology aims muzaffarabad. results: the male to female ratio 6.56:1. the age range was 16 to 65. the mean age was 40.5 years. multi nodular goiter was the common thyroid disease. follicular adenoma was seen next 35 (12.36%) cases. amongst the 18(6.36%) cases of thyrioditis,lymphocytic thyrioditis was seen in 17 cases which were more common than hashimoto's thyrioditis. the incidence of malignancy was 28.97%. papillary carcinoma have higher incidence than follicular carcinoma. conclusion: a large population of ajk was having thyroid goiter with female and middle age predominance. benign enlargement was leading cause of goiter while among malignancy papillary carcinoma was more common in our population as compare to other malignant.