Friday 14th 2011
Previous right hemithyroidectomy ? Recurrent MNG
FNAx6 under ultrasound guidance two nodules left lobe of thyroid (aspirate 1 2&3 upper, aspirate 4 5&6 lower) ten air dried smears prepared.
Smears of aspirates from the upper lesion are hypercellular; in a background of blood numerous follicular epithelial cells in small focally crowded clusters in microacinal groupings, no papillary architectural groups or cells demonstrating intranuclear conclusions or nuclear grooves are seen. Colloid is not a feature
Smears of aspirates from the lower lesion one with abundant thin colloid (lightly blood stained) others numerous macrophages (with granular/pigmented cytoplasm) within a variably stained background with scattered clusters of epithelioid histiocytes and a few groups of follicular epithelial cells including large mono-layered groups with mild anisonucleosis. Occasional groups of Hurthle cells are seen. No papillary architecture groups or cells demonstrating internuclear inclusions or nuclear grooves are seen.
Fine needle aspirate, nodules left lobe of thyroid –
(Upper lesion) ATYPICAL FOLLICULAR PATTERN. Cytologically differential diagnosis includes follicular neoplasm, focus of hyperplasia.
Excision biopsy for histologic diagnosis is recommended.
(Lower lesion) Numerous macrophages, some colloid and follicular epithelial elements in keeping with colloid nodule.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
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.