This is hard to answer w/o looking at the pathology slides.
Depending on where you are, consider going for a second opinion (slides in hand) and have everything reviewed to make sure you know what the next step should be.
Consider a university setting or look on thyroid.org to find a thyroid specialist near you.
This appears to be a multifocal papillary thyroid cancer measuring (?) up to 2cm - there are 2 positive lymph nodes. This situation usually requires radioactive iodine - - so would talk to your doctor about arranging this. Prognosis overall is very good.
Many thanks Dr Lupo, I appreciate your response. I am somewhat confused by the sizing of the cancer as there appears to be two cancers in the right lobe, unless I am reading this incorrectly. In the Macroscopic report they say a tan firm nodular lesion is idenftified measuring 10 x 10 x 10mm but they also say on sectioning that it is 20 x 15 x 10mm, so is there two or is it one and the same and it simply measures differently when cut. Also, as the lesion is present at the inked margin does that mean that there is still some cancer left in my neck?
Also, they mention a circumscribed follicular lesion towards the base of the right lobe, is this a cancer?
Sorry for all the questions. My surgeon moved after Christmas to a new hospital and I don't know where to turn to next.
Many thanks!
Many thanks Dr Lupo, I appreciate your response. I am somewhat confused by the sizing of the cancer as there appears to be two cancers in the right lobe, unless I am reading this incorrectly. In the Macroscopic report they say a tan firm nodular lesion is idenftified measuring 10 x 10 x 10mm but they also say on sectioning that it is 20 x 15 x 10mm, so is there two or is it one and the same and it simply measures differently when cut. Also, as the lesion is present at the inked margin does that mean that there is still some cancer left in my neck?
Also, they mention a circumscribed follicular lesion towards the base of the right lobe, is this a cancer?
Sorry for all the questions. My surgeon moved after Christmas to a new hospital and I don't know where to turn to next.
Many thanks!