hi ,Sir Dr Mark Lupo, MD in additional inform for huda , the clinical hisyory had differentiated papillary carcinoma with extreme cystification . Revision total thyroidectomy with right MND done when she was 4 years old .now usg guided FNAC- Thyroid bed nodular as illustrated before ,beside that she is 13 years old.
best regard
her father gamal
what should be the treatment &suggestion in her case?
I would probably need more information. The nuclear atypia needs a little bit more clarification. You should ask what category the pathologist put this in. You said "thyroid bed nodular", I imagine you meant a thyroid nodule and not a mass in the thyroid bed with a history of thyroidectomy?
A repeat biopsy in the future may be necessary to clarify this. Or sometimes, simply sending the slides to another pathologist (an expert for example) is very helpful. You should also see a specialist in thyroidology if possible.