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Doctor insights on: Abnormal Thyroid Biopsy

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Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?

MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. Thats high. I would see a surgeon to discuss if this warrants thyroidectomy. thanks ...Read more

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Dr. Corey Clay
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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Is a thyroid nodule fna biopsy painful?

Is a thyroid nodule fna biopsy painful?

It varies: The level of discomfort experienced can vary considerably. Different people have different pain tolerance. Inflammatory nodules are likely to be more tender than cysts or tumors. Different doctors choose different size needles. Some use lidocaine, a local anesthetic, some do not. Most patients experience a level of pain similar to what they feel while getting an IV started. ...Read more

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Thyroid ultrasound showed heterogenous echogenicity hypervascular thyroid. Thyroid labs normal. Any thoughts on what this is?

Thyroid ultrasound showed heterogenous  echogenicity hypervascular thyroid. Thyroid labs normal. Any thoughts on what this is?

See endocrinologist: It is unclear why these studies are being done, especially if thyroid blood tests are normal. You should see an endocrinologist to have him/her interpret these tests. That ultrasound is consistent with hashimotos thyroiditis. ...Read more

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3cm hyperechoic thyroid nodule with increased vascularity, normal TSH fnac- follicular cell with hyperplastic area. What it indicates?

Uncertain: The fna can only help if it shows cancer. But in your case it is ambiguous, so your doctor should guide you what to do next?...What did he/she suggest as the next step? Most doctors would next recommend either surgical excision or monitor closely for some time and see if it is growing in size in which case it has to be taken out. ...Read more

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Biospy of thyroid report "Macrofollicular thyroid parenchyma, suggestive of nodular hyperplasia" What does this means?

Biospy of thyroid report "Macrofollicular thyroid parenchyma, suggestive of nodular hyperplasia" What does this means?

Not cancer: It would be helpful to talk to the pathologist who rendered the diagnosis, however, from the information you provided, you do not have thyroid cancer. ...Read more

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Are abnormal cells removed with a colposcopy biopsy?

Are abnormal cells removed with a colposcopy biopsy?

Preventing Cancer: It's VERY important to get a colposcopy if your pap is abnormal. A colposcopy is a speculum exam where special stains and magnifying lenses are used to look for pre-cancers on your cervix. If there are abnormalities, your GYN will take a biopsy, which is uncomfortable, but lasts ...Read more

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Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms

Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms

Elevated: TPO levels are associated with autoimmune thryroid disease/thryoiditis, for example Hashimoto disease. The thyroid US findings are also consistent with thyroiditis. Talk to your doc about next steps. ...Read more

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Is afirma thyroid fna analysis-molecular marker test by veracyte any good for diagnosing papillary thyroid cancer? Http://carolinaendocrine.Com

Is afirma thyroid fna analysis-molecular marker test  by veracyte  any good for diagnosing papillary thyroid cancer?
Http://carolinaendocrine.Com

Pathologist: Already answered(and saw some other answers) to this post earlier today; there is no better way to diagnose this than with a tissue biopsy and an experienced pathologist. ...Read more

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Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?

Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?

Hard to say: Ive yet to have anyone NOT have elevated TPo but I havent sent many. The standard answer would be that it likley is GRAVES disease starting but if there arent a lot of symptoms and the labs are normal you wouldnt give treatment. Retesting if symptoms and at about every 3 months. ...Read more

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Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Second opinion: If after a thyroidectomy, your local pathologist still can't differentiate between goiter or cancer ask your doc to request the pathologist to send the tissue to a bigger referral institution for a second opinion. ...Read more

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Can a "normal" thyroid nodule develop abnormal follicular neoplasm cells over time?

Possibly: Ghe tendency for transformation of a nodule in the thyroid gland depends on whether the nodule is solitary or multiple. The latter for the most part is a goiter and rarely if ever associated with Ca of thyroid. A solitary nodule has to be examined as to being hot or cold. If hot and functional Ca essentially doesn't occur. If the solitary nodule cold, there is a 30% chance of converting to Ca. ...Read more

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Is a heterogeneous thyroid nodule cancerous?

Is a heterogeneous thyroid nodule cancerous?

Possibly: Each thyroid nodule has an approx. 5% chance of malignancy, thus a heterogenous could be cancerous. Looking at it the other way, a heterogenous nodule has a 95% chance of not being cancerous. ...Read more

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Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Biopsy: I agree. A nodule this big should be biopsied. Chance of malignancy is low but you need to do it to find out. ...Read more

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Test results are multinodular goiter so radionuclide thyroid scan?

Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read more

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Homogeneous solid thyroid nodule measuring 1.6x1.9x2.8cm increased peripheral and intranodular blood flow. Had biopsy. How suspicious and concerning ?

Homogeneous solid thyroid nodule measuring 1.6x1.9x2.8cm increased peripheral and intranodular blood flow. Had biopsy. How suspicious and concerning ?

Worth a Biopsy: It was suspicious enough to warrant a biopsy. You had one. The results will be back soon and you will know one way or another. Most turn out to be benign. ...Read more

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Enlarged thyroid, normal thyroid function yet having thyroid symptoms, is this normal?

Enlarged thyroid, normal thyroid function yet having thyroid symptoms, is this normal?

Depends: What do you mean by "thyroid symptoms?" if your thyroid functions are normal there could be something else causing those symptoms. ...Read more

Dr. David Sneid
70 doctors shared insights

Thyroid Biopsy (Definition)

Thyroid glands can develop nodules and an important way to determine whether the nodule is cancerous is a needle biopsy. This is done under ultrasound guidance and uses a very fine needle. The procedure in not as bad as it may sound and is done as an outpatient. It is best done by someone who does this all the time so that adequate material is ...Read more


Dr. Tanya Russo
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more