usg guided FNRC = thyroid bed nodular

[hudagamal]

= smears show a mixed population of benign follicular epithelial cells and hurthle cells in the background of colloid & hemorrhage .
=few cells show anisonucleosis  & nuclear atypia .
= however , convincing  nuclear features of papillary  carcinoma are not evident .
=close follow - up is suggested .

WHAT IS THE TREATMENT  DEPENDING UP ON THE PATHOLOGY REPORT ABOVE ?

[hudagamal]

hi ,Sir  Dr Mark Lupo, MD  in  additional inform  for huda , the clinical hisyory had  differentiated  papillary  carcinoma with extreme cystification . Revision total thyroidectomy with right  MND  done when she was 4 years old .now usg guided FNAC- Thyroid bed nodular  as illustrated before ,beside that she is 13 years old.
best regard
her father gamal

what should be the treatment &suggestion in her case?

[Mark Lupo, M.D.]

I would probably need more information.  The nuclear atypia needs a little bit more clarification.  You should ask what category the pathologist put this in.   You said "thyroid bed nodular", I imagine you meant a thyroid nodule and not a mass in the thyroid bed with a history of thyroidectomy?

A repeat biopsy in the future may be necessary to clarify this.  Or sometimes, simply sending the slides to another pathologist (an expert for example) is very helpful.  You should also see a specialist in thyroidology if possible.