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Doctor insights on: Can I Request Sedation For Thyroid Fna

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Anyone have experience with the affirma thyroid fna biopsy?

Anyone have experience with the affirma thyroid fna biopsy?

Thyroid: Used if thyroid biopsy shows a follicular lesion. The affirma assay is a molecular classifier test that shows if that nodule us benign early use show promising results. Expensive test that few insurance companies will pay for. ...Read more

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Dr. Susan Wingo
163 doctors shared insights

Fine Needle Aspiration (Definition)

Fine needle aspiration is when a doctor inserts a small needle into a part of the body to withdraw cells or fluid. This is typically done to capture a tissue sample to send to ...Read more


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What do I do if an fna of my thyroid came back inconclusive for malignancy?

What do I do if an fna of my thyroid came back inconclusive for malignancy?

Frustrating problem: You can watch and wait, having your doctor keep a close eye on your thyroid ultrasound in the coming 3-6 months. You could also ask for a repeat biopsy in 3-6 months. If the nodule is large, you may wish to discuss having thyroid surgery (removal) to settle the problem. ...Read more

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How long does it take to get back pathology results from a fna of the thyroid?

Not long: Depending on the lab, the result should be available in a day or two. It may take longer if any special studies or consultation is needed. In some cases, the result may be available sooner, especially if the aspirated was done by the pathologist. ...Read more

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What are rare pseudoinclusionsin thyroid fna. I know pseudoinclusions look like one circle inside another, but what does s the "rare" word mean?

What are rare pseudoinclusionsin thyroid fna. I know pseudoinclusions look like one circle inside another, but what  does s the "rare" word mean?

Context.: "rare" probably means the pathologist saw two in the total material. While pseudoinclusions suggest papillary carcinoma (usually the least aggressive type of thyroid cancer), the pathologist will give the diagnosis based on the big picture. Good luck. ...Read more

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How long should it take to get results for a thyroid fna?

Thyroid FNA results: No longer than a week. May take longer if a second look or specialized pathology studies are indicated. ...Read more

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Two thyroid fnas with the result being "follicular lesion of undetermined significance". What should the next step be?

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. ...Read more

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I had two thyroid fnas done three weeks apart and both say "follicular lesion of undetermined significance". What happens next? Why did i get that?

Indeterminate nodule: There is a standardized reporting system (bethesda) for thyroid fnas. 5 categories (benign, atypia of undetermined significance, neoplasm, suspicious for malignancy, malignant). Your result is in the second category. Studies place the probability of malignancy for your result at 5-20%. There are labs (afirma) that do gene expression testing on these samples to better define the risk of cancer. ...Read more

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Pain in neck thyroid area after fna. Is this normal?

Mild pain: Is not uncommon, but generally goes away soon. A more severe pain, accompanied by redness and swelling, can indicate bleeding or infection and needs immediate attention. ...Read more

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Pain in neck and thyroid area after fna. What could this be?

Bruising: Even though the needle used is thin, it can cause bruising & some bleeding. If the doctor had any difficulty finding the suspicious nodule, then the discomfort afterwards may be more. ...Read more

Dr. Katharine Cox
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