Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Abnormal or Atypical Thyroid biopsy
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Abnormal or Atypical Thyroid biopsy

My mother had thyroid biopsy done not to long ago. She waited for the results for a while to find that they were normal over the phone. When she went in for her follow up the doc came in asking what she wanted to do about the results...she replied they were normal. He then told her that one came back abnormal! I cant believe they would do that to her.  She has to have surgery to remove the abnormal nodule or cyst asap. Then they say they will test it for cancer. What are the possibilities that it is cancer, is there any other reasons why this would come back as abnormal?
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Hard to know exactly what happened.  Would consider having the slides reviewed by an expert cytopathologist (eg, U FL - Dr. Massoll or U Penn Dr Baloch).  Ask how many separate nodules were biopsied - one may have been benign and the report on another delayed which may have been indeterminate or suspicious.  Surgery is often needed to make a definite diagnosis, but is not usually urgent and time can be taken to sort out the details and get a second opinion on the biopsy slides.

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