U.S. doctors online nowAsk doctors free
A 48-year-old member asked:

What are methods practised for staging papillary thyroid cancer? not about my single fna test "suspicious for malignancy" (category 5) but more info.

4 doctor answers9 doctors weighed in
Dr. Philip Rosenblum
Family Medicine 28 years experience
Surgery + more tests: Staging for any cancer is based on pathology based on examination of the thyroid gland tissue: i.e. If it extends beyond the gland itself after it is removed, and if there are involved lymph nodes and on the findings of scans looking for spread to other organs. But the staging rests on a definitive diagnosis based on surgery. You need the surgical findings first.
Dr. Susan Wingo
Endocrinology 33 years experience
Staging Criteria: For thyroid cancer, there are many different staging systems, but most use the following criteria: age at time of surgery, size of primary tumor, extent of tumor (lymph nodes, growth outside of thyroid into neck tissues), completeness of surgery, and presence of distant metastases.
Dr. Barry Rosen
General Surgery 34 years experience
Age, Tumor Size, LN: Staging of papillary thyroid ca is dependent on age (cutoff: 45), tumor size, lymph node involvement, and presence of cancer elsewhere in the body. Most of this information requires surgical evaluation and post-op scanning before a definitive stage is reached. However, the chance for cure is very high with these types of cancer, especially when younger than 45.
Dr. Richard Orr
Surgical Oncology 44 years experience
Ultrasound / surgery: An ultrasound should be done preoperatively by an experienced radiology dept (or endocrine surgeon or endocrinologist) and suspicious nodes fna'd. If ok proceed to a total thyroidectomy by an experienced endocrine surgeon. He/she will remove any suspicious nodes and possibly do a central node dissection if the tumor is large. Experience here matters a lot in terms of complications and reops.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Jan 30, 2014

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.