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Throidectomy Pathology Report

I can interpret some of my pathology report, but I wanted to see if there was any other feedback from you experts who have been through this.  My follow up appt. with my ENT surgeon is on Monday and I'd like to be ready with questions.  Can anyone offer any comments or recommended questions I should ask?  My dr. told me I would be doing RAI so I'm current off my Levoxyl.  Thank you all so much for your continued support.

TISSUE
A. Mass - Right Thyroid Mass, FS
B. Thyroid Lobectomy - Left Thyroid Lobe

GROSS DESCRIPTION
A. The specimen consist of a portion of thyroid tissue.  It measures 4.5 x 2.2 x approximately 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 submitted in A1.  Another portion of the tumor is submitted in A2.  Section of what would be isthmus is subitted in A3.  Other section, which is approximately 1 cm from the previously described nodule is submitted in A4.  

SUMMARY OF SECTIONS; 4, MULTIPLE REPRESENTATIVE
B. The specimen consists of a sectioned portion of thyroid.  The specimen is received bisected.  The first portion measured 2.5 x 1.4 x 1.4 cm.  The specimen is serially sectioned and there is a slight variegation that measures approximately 3 to 2 mm apart.  There is suture near this, and this is submitted in cassettes marked 1 and 2.  Portions of uninvolved thyroid at the edge are submitted in cassette marked #3 and #4.

SUMMARY OF SECTIONS: 4, MULTIPLE, REPRESENTATIVE

FROZEN
A. PAPILLARY CARCINOMA

MICROSCOPIC IMPRESSION
A.  The specimen consist 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 a 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.

B. The specimen consists of a submitted portion of thyroid.  It shows chronic thyroiditis with no evidence of malignancy.  

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.

Pp T1a, Nx Mx

Staging sheet and CAP guidelines completed.

CODE: 307, 331, ICD-9 241

B. CHRONIC THYROIDITIS

CODE: 305, ICD-9 241
2 Responses
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158939 tn?1274915197
Your papillary carcinoma is the lowest level.

Here is how papillary carcinoma is staged:  http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_thyroid_cancer_staged_43.asp

The fact that it was encapsulated and had not spread is great news.

Welcome to the thyroid cancer club.

Utahmomma
papillary carcinoma '03, second surgery '04, recurrence and RAI '06
three sisters with papillary carcinoma (one with three recurrences/RAI)
Helpful - 0
Avatar universal
It most likely looks like first stage papillary cancer with minimal invasion
Helpful - 0
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