FNA biopsy results

[Michelle_P]

The Dr. just called and my results were 'indeterminate'. He says he is 95% sure the nodule is benign, but would like to remove my left lobe due to the combined results of all the tests.

When the nurse calls back to schedule my next appt. should I ask what the path report actually said?  I was going to ask the Dr. but I was so nervous when he called- that I forgot  to ask.

I am so frustrated that I still do not know anything other than  I need surgery.

Thanks for listening :).

Healing Light to All,
Michelle

[Michelle_P]

Hi 898,

Sorry for taking so long, I had to wait for the report to be faxed.

Diagnosis: Left thyroid nodule, fine needle aspiration and cell block: - follicular epithelium without atypia, suggestive of adenomatiod nodule vs. follicular lesion favor the farmer. ( I don't know if 'farmer' is a typo on the report).

Microscopic desription:
The conventional smears are acellular and are composed of follicular cells with occasional macrofollicular formation. Most of these are monolayers of benign appearing follicular cells. In the Sure Path smear, there is colloid. The follicular epithelium does not show any papillary change. No intranuclear grooves or intranuclear inclusions are noted. The cell block is acellular.

Thank you for taking a look!
Michelle

[898]

The indeterminate report may take place if it contained too many loose cells of different type so it was not possible to say what type of the cells is dominant.
Unless nodule is growing rapidly, some doctors are waiting 3 months and repeating biopsy or do core biopsy with thicker needle so it can pick up the tissue sample instead of loose cells.
The experienced pathologist may also take look on the sample and voice his opinion.
Could you please post the biopsy report if you get the chance?
The surgery is recommended if the follicular or hurtle neoplasm is found. [The sample should contain from 2/3 to 75% of the cells of specific types to be qualified].