A high profile false positive thyroid cancer this year was Argentina's President Cristina Fernández de Kirchner. The article "Argentine President Cristina Fernandez Has Thyroid Removed, But No Cancer Is Found" by Mary Shalom mentions a test called the Veracyte Afirma Thyroid FNA Analysis which is interesting. This is an excerpt from the article...
"How Could Such a Major Mistake Have Been Made?
While the specific sequence of events in President Fernandez's case has not been released, typically, in a situation like this, there is a fine needle aspiration (FNA) biopsy, and if that result shows cancer, surgery is performed.
A small percentage, usually less than 4%, of these positive FNA biopsy results are in error, meaning that they are "false positives."
It's possible Fernandez was one of this small minority of patients who had a false positive FNA result. Given that no cancer was found, however, it's also possible that Fernandez's biopsy sample was labeled indeterminate or inconclusive. In most cases, when faced with an inconclusive biopsy result that can not rule out thyroid cancer, doctors still have proceeded with surgery to remove the gland.
I have to wonder, however, if President Fernandez might have been spared a surgery, and lifelong hypothyroidism, if she had access to the relatively new Veracyte Afirma Thyroid FNA Analysis process that was launched in the U.S. last year. This is a specialized test process, applied to FNA results, that prevents inconclusive and indeterminate results, and almost entirely eliminates needless surgeries like the one Fernandez underwent."
I dont know what you are trying to tell me? I dont understand. You are just repeating the results.
Hello 898_1
How do u know so much about this? So does that mean that after TT is done, there is a chance that they might not find any cancer? How common are these results?
"sheets and groups of follicular cells" are present in any thyroid gland
Nuclear Enlargement (present in neoplasms)
MICRONUCLEOLI, INTRANUCLEAR INCLUSIONS (found in atypical cells)
" NUCLEAR overlapping and nuclear groves" found exclusivly in papillary cancers
But they did mentioned sheets and groups of follicular cells with NUCLEAR ENLARGEMENT. I dont understand any of this but my TT surgery is scheduled for August 20.
According to the cytologist, biopsy is suspicious of papillary thyroid cancer; HOWEVER the report did not mention NUCLEAR overlapping and nuclear groves which are the key features of papillary cancer. I would recommend having different cytologist to look on this specimen to see if the above named features are present in the sample.
The biopsy of lymph node may also be necessary.
Total thyroid removal surgery most likely will be the next step