Objective: In this study our main goal is to observe the experience of prevalence of thyroid carcinoma in thyroid swelling. Method: This retrospective study was carried out at tertiary hospital, Dhaka Bangladesh from July, 2021 to December 2022. Total 95 patients with thyroid swelling with normal thyroid hormone profile undergoing thyroidectomy were included as a sample population. Results: Among the 95 patients highest 23 (24.21%) patients age was (31-40) years. highest 55 (58%) patients were female and 40 (42%) patients were male. highest 42 (44%) patients had Only thyroid swelling and similar 42 (44%) patients had both thyroid+Lymph node enlargement. patients highest 90 (95%) patients had local metastatic and only 5 (5%) had distant metastatic. 58.95% had no complication on surgery. Conclusion: From our study we can say that, both the initial treatment and follow-up should be individualized according to prognostic indicators and any subsequent evidence of disease.