Shazia Jahan, Abdur Rouf, Sajid Aziz, Muhammad Ateeq.
Thyroid Disorders; Spectrum of Thyroid Disorders an Experience in Gujranwala Region of Punjab.
Professional Med J Jan ;25(5):691-5.

Objective: to study the spectrum of various thyroid disorders presenting in peripheral teaching hospitals of Gujranwala region. Study Design: Descriptive, Cross sectional, Interventional. Setting: Department of Surgery Islam Teaching Hospital Sialkot & Surgical Department of Aziz Bhatti Shaheed (Teaching) Hospital. Nawaz Sharif medical College, University of the Gujrat. Study Period: February 2011 to June 2016. Results: A total of 236 patients of all age groups with thyroid gland disorders were enrolled in this study. Majority of patients were of middle age group with mean age of 43+ years. Male to female ratio was 1:4. Nodular thyroid enlargement was the commonest presentation. Solitary thyroid nodule was the commonest variant of nodular goitre seen in 48.52% cases. Thyroid carcinoma was found in 36.45% cases among the nodular goitres. Conclusion: Thyroid disorders are common in hilly areas of Pakistan, more common in female population. High prevalence thyroid malignancy in population of the Gujranwala Division of Central Punjab is an alarming and worrisome finding in our study. Larger multicenter studies are suggested in this particular region to know the exact incidence, predisposing factors/ carcinogens etc if any responsible for thyroid malignancies in this region.

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