Results in Papillary Carcinoma from 2nd opinion new FNA

[ultramichelle]

Thank you all for encouraging me to get a 2nd opinion. I recieved the call today from the new and expensive out of pocket  doctor and it is Papillary carcinoma. The nodes so far look good but will have those results on Tuesday. I had a strong feeling 3 weeks ago when the first FNA results said benign follicular nodule that they were wrong. I am so glad I didn't waste time or my stress on waiting the 1 to 1 1/2 yrs the old endo recommended. Thank you and trust your gut.

[Mark Lupo, M.D.]

Lymph node mapping is done with ultrasound is recommended pre-operatively for biopsy proven PTC as about 1 in 7 patients will have lymph nodes in the lateral neck (lateral to the carotid) that change the extent of the initial surgery.  This mapping is best done by someone with experience.

[ultramichelle]

I am a ultrasonographer and agree it looked suspicious to me and my endo was not onthe same page as I so I went outside my HMO. This outside DR wants to do a lymph node mapping himself, what does that entail? Is it a sonogram or through nuclear medicine?

[Mark Lupo, M.D.]

That ultrasound image is very typical for PTC - I am glad you got a definite diagnosis.