A 25-year-old female asked:
two thyroid fnas with the result being "follicular lesion of undetermined significance". what should the next step be?
2 doctor answers • 5 doctors weighed in
Medical Oncology 50 years experience
Follow your doctor's: The doctor who has put you thru fna twice must have some advice for you to follow. If he does not know what to do, then you should go see a specialist(endocrinologist) who specialises in thyroid diseases. Fna is only helpful if it shows cancer. If it is benign it does not always mean it is correct, so a specilait needs to guide you for next step whichj may be surgical removal of the thyroid nodule.
4.5k viewsReviewed >2 years ago
Interventional Radiology 51 years experience
Gene profiling..: For FLUS diagnoses, the current recommendation is to perform molecular analysis of cells removed at the time of FNA; there are two tests, Afirma by Veracyte, and the other test by Asuragen. These are expensive tests, make sure the insurance company covers it. Some endocrinologists do only one or the other test. Please check with your endo.
3.6k viewsReviewed >2 years ago
Last updated Dec 13, 2014
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