My endo told me that I need to perform complete thyroidectomy because my FNA was suspicious for papillary cancer although it was indeterminate. You suggested that I do another biopsy and have it reviewed by experts. I was wondering how long I can wait before performing the surgery.If it was really cancer does waiting another month and having another biopsy negatively affect the prognosis?
The ultrasound says that I have a large well defined nodule measuring 3.5 x 2.5 x 2.25 cm solid, highly vascular, mildly echogenic in the left lobe. There are also several ill-defined hypo- and hyper echoic nodules in left and right lobes.
Smears and the clot section show a bloody sample, and thus colloid is difficult to assess, though cellularity is sparse and most nuclei appear round. However, rare intranuclear pseudoinclusion are seen in the smears from the second pass, as well as some cells with groove nucleus and the case will forwarded to Dr. AAA at UCSF hospital for expert consultation. Dr BBB. concurs with the presence of suspicious intranuclear pseudoinclusions, a finding which may be associated, though is not specific for, papillary carcinoma.
Expert comments (university hospital)
There are some oncocytic change, though not to the degree as would be expected in classic Hurtle cell neoplasia. However, the finding of nuclear inclusions does support that that this is a neoplastic nodule, but does not indicate it is benign or malignant. He also notes that surgical excision is prudent, though points out that even frozen section will likely not follow definitive classification.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.