i have a following report that i need more explanation: please help me:
CLINICAL HISTORY: Right Thyroid nodule on previous scans.
US-THYROID/NEEDLE BIOPSY (exam date 06/07/11)
Ultrasound guided fine needle aspiration: Consent was obtained from patient. The patient was placed supine on the ultrasound table. As seen on previous ultrasound there is a 1.9 x 1 x 2 cm hypoechoic nodule in the right lobe of thyroid. This is associated with increased vascularity. As a requested fine needle aspiration cytology is performed using the capillary method. the paitent tolerated the procedure and there were no immediate complications.
Interpretation: Uneventful ultrasound guided aspiration cytology of right thyroid nodule.
NON GYNECOLOGIC CYTOLOGY REPORT completed 06/07/14
Appearance : clear colourless 50% ethyl alcohol
non diagnostic. Scant blood, lymphocytes, follicular cells and colloid.
This is misleading -- It likely means there were not enough cells to make a definite diagnosis and that repeat FNA is indicated. "non-diagnostic" in some reports means "indeterminate" (a better description) and that surgery may be the only way to make a diagnosis. But most likely it means not enough cells were present to make a diagnosis.
The hypoechoic comment and increased vascularity are features of suspicion on ultrasound -- please follow-up with a thyroid specialist to make sure you get the right diagnosis and plan.
I might be wrong, but I think that all in all, it is not a good collection of cells and can't really tell if it is suspicious for cancer or not...might have to do another FNA - I am not a doctor - just thought I'd throw that out there. Good Luck!
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