I received my path report and took out some of B since it only relates to chronic thyroiditis. I'm concerned with the cancer and what should next steps and long-term follow up be. Feel free to suggest anything I should ask my dr. as well.
A. Mass-Right Thyroid Mass, FS
B. Lobectomy-Left Thyroid Lobe
A. The specimen consists of a portion of thyroid tissue. It measures 4.5 x 2.2 x approx. 1.5 cm. Sectioning through it reveals a nodule which has a variegated appearance that measures 1.2 cm in greatest dimension. The frozen section is submitted in cassette marked FS. An additional frozen portion of the tumor is in A1. Another portion of the tumor is in A2. Section of what would be isthmus is in A3. Other section, which is approx. 1 cm from previously described nodule is in A4.
A. PAPILLARY CARCINOMA
A. The specimen consists of a thyroid lobe. It shows the presence of a papillary carcinoma of the thyroid. This is characterized by a classic histologic and cytologic picture. Nuclear creases and nuclear clearing are noted along with nuclear inclusions. In the background is evidence of chronic thyroiditis with mixed inflammatory infiltrate. The lesion is contained within the thyroid capsule. There is no capsular invasion. There is no lymph vascular invasion. The isthmus is free of tumor. This is a unifocal tumor.
FINAL PATHOLOGIC DIAGNOSIS A. PAPILLARY CARCINOMA OF THE THYROID
GREATEST DIMENSION: 1.2 CM, CLASSIC HISTOLOGY, UNIFOCAL, TUMOR CONFINED TO RIGHT LOBE
MARGINS UNINVOLVED, TUMOR CAPSULE, TOTALLY ENCAPSULATED, TUMOR CAPSULAR INVASION ABSENT, LYMPH VASCULAR INVASION ABSENT, EXTRATHYROIDAL EXTENSION NOT IDENTIFIED