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Diagnosis of thyroid nodule help

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Diagnosis of thyroid nodule help

Postby robinsjoy » Sat Sep 30, 2006 12:53 am

I had a FNA on a thyroid nudule and this is the report anyone know what it means?

thin watery colloid is present in most smears submitted for exam. Asingle cheet of bland appearing follicular epithelial cells with involutional cytologic characteristics such as the ones present in the photomicrophraph is identified in one smear. Other smears show rare single cell nuclei. This particular small sheet of follicular epithelial cells lacks atypia for pappillary carcinoma or microfollicular arraignments for a follicular neoplasm.
NOTE: Clinical correlation is recommended and if this nodule changes its physical characteristics recommend repeat FNA in a period of 3-6 months.
NOTE: The false negative rate of aspiration biopsy of the thyroid is in the range of 3-5% with its implications for continued follow-up.
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Postby LilKim » Sun Oct 01, 2006 5:53 pm

hey there!

I will preface this with: I AM NOT A DOCTOR!!!! and i want to remind you that you don't know me and as far as you're concerned I could be a random internet person just rattling-of on a tangent. So, please take what I say "with a grain of salt" and talk to your doctor about any concerns you have AND as him to translate your report so that you can undersrtand it too.

Based in my (novice) interpretation ... the first half of the report is just a indepth description of the nodule. Of course, i'm not a histologist/cytologiest so i'm not sure what "normal" tissue looks like so I can't tell you more about that part.

I think the last few lines are the most telling:
1. "This particular small sheet of follicular epithelial cells lacks atypia for pappillary carcinoma or microfollicular arraignments for a follicular neoplasm."

This suggests that what the histologist did not observe tissue that has typical neoplastic or cancerous appearace.

2. "NOTE: Clinical correlation is recommended and if this nodule changes its physical characteristics recommend repeat FNA in a period of 3-6 months."

Your docotor should make sure the that the findings (ie. #1) agree with your overal presentation ... And as long as your doctors doesn't have think it is cancerous ....the nodule should be monitored for physical changes over the next 3-6 months. (... and if changes are seen a repeat FNA (?) should be done)

3. "NOTE: The false negative rate of aspiration biopsy of the thyroid is in the range of 3-5% with its implications for continued follow-up."

This part is a disclaimer that suggest that the false positive for this type of thyroid biopsy is 3-5% as long as the laboratory does the best job possible diagnosing it ... and your doctor does the best job taking the biopsy as well as following up on the results... and monitoring you for the next 3-6 months.


Again!!!! please do not rely on my interpretation... I'm not a docotor! I do not know your symptoms and overall presntation... so, it is impossible for me to interpret everything that's going on with you. If you've talked to your doctor and he/she hasn't been helpful in clarifying your questions ..... i STRONGLY suggest you seek a second opinion.

All the best!
- KIM
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