Doctor insights on:
How Long To Get Results From Fna Biopsy Of Thyroid
Minimal discomfort: A fine needle aspiration biopsy of the thyroid is done with a fine gauge needle (usually 22 to 25 gauge). For comparison, when blood is drawn one usually uses an 18 gauge needle (lower gauge means larger needle). Usually local anesthesia is used so there should be very little discomfort. The actual biopsy only takes a few seconds for each needle pass (typically 4 passes are done). ...Read more
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
Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? History of cancer- can't I just get it removed prophylacticly?
Why?: Unless it represents a danger like cancer, or is a severe physical or cosmetic problem, why remove an organ "prophylactically"/ if that were true, why not also "prophylactically" remove your nose, breasts, external ears, toes, one kidney......And all the other parts of your body you don't really need that could potentially cause trouble in the future? ...Read more
Generally great: The worst kind of thyroid cancer is anaplastic-- the survival is short, usually months. For all other kinds, as long as the thyroid cancer hasn't spread to other organs, the survival is very favorable. Most patients end up dying *with* thyroid cancer, and not *from* thyroid cancer. ...Read more
Has Amer thyroid ass. Changed guidelines for biopsy of thyroid nod. To greater than 1.5 cm for complex nod, cystic/solid hetero, no calci.?
Can vary: It depends upon where it is sent & how much testing is done. In-town pathologists will usually give an report in 1-3 working days; out-of-town pathologists in 2-5 working days. If genetic analysis is being done as well, this can take 1-2 weeks. ...Read more
Always an option: The answer depends on why you want a second opinion. Most centers have more than one pathologist so they typically run tough cases with each other before making the final call. If the result was benign, I typically would not ask for a second opinion but will observe the nodules over time. The only time I would ask for a second opinion is when the result comes back "indeterminate.". ...Read more
FNA helps: Fna (fine needle aspiration, i.e. Needle biopsy) helps by clarifying what type of cells are present in a thyroid nodule. The typically can come back as either a) cancerous, b) benign or c) can't tell for sure. It will help your surgeon come up with a surgical plan that best fits you. ...Read more
Why would lymp node become swollen and hurt when breathing and moving under chin area in neck after fine needle biopsy of thyroid.
Lymph mode swollen: Lymph nodes under the chin drain generally from the oral cavity. I would not immediately suspect that is related to your thyroid biopsy. It could be related to something going on in the mouth, teeth, or a coincidental occurrence. If it becomes increasingly tender and swollen, you should see an ENT doctor soon. ...Read more
Can taking a prescription anti-inflammatory medicine (Mobic) interfere with thyroid biopsy (FNA) results? Or a daily allergy pill (Claritin)?
No: If there are doubts about the biopsy, and it's clear that the lesion was sampled by the operator, then get two more pathologists to look at the slide. ...Read more
If I have a hida scan monday and a thyroid biopsy tuesday will it effect the results of the thyroid biopsy both were scheduled friday by specialists?
Thyroid biopsy: Hard to answer. No test is perfect. With an ultrasound-guided needle bx, the pathologist looks at the sample of cells that he gets. He may not get a good sample. In some kinds of thyroid cancer, it is hard to distinguish normal from abnormal cells. Sometimes decisions need to be made in spite of "test results", i.e. A judgement call. Talk to your endocrinologist. ...Read more
3days ago I had thyroid biopsy. Stil hurts when I swallow, move neck and touch it. Like being poked with a needle. Normal? How long will it last?
A week or more: I presume that this was a needle bioopsy of the thyroid. I should heal in less than a week. Occasionally, a small amount of bleeding occurs where the biopsy needly was inserted. This can prolong the discomfort for an additional week. If the discomfort is decreasing, even if slowly, it's ok. If it is increasing, chek with the doctor who did the biopsy. ...Read more
Thyroid biopsy results Showing minute fragment of thyroid tissue w/ hemosiderin-laden macrophages & blood elements most consistent w/follicular lesion?
How long do I have to wait after a nuclear medicine thyroid scan, i-123, to have a fna biopsy and/or thyroid blood tests?
You don't wait.: Generaly speaking you do not need to wait at all after having an I 123 thyroid scan to have a biopsy. You usually have the biopsy scheduled after the results of the thyroid scan are interpreted which usually takes a day. The radiation from the I 123 is minimal. ...Read more
I had a FNA on Thyroid, 1 Nodule came back normal but the other 1 is lying too deeply & next to an Artery, so could not get biopsy. What will happen?
Watch both: Do not remove or try to biopsy second nodule but repeat CAT scans to assure 2nd lesion not growing. Most of the cases of 2 nodules result in appearance of a 3rd or 4th nodule as part of multi nodular goiter. If dramatic increase in size such a 2x in the next 4-6 months would consider open bx or excision and then treat accordingly. ...Read more
My thyroid biopsy results shows a benign follicular nodule with colloid, blood and few hurthle cells. Should I be concerned with the hurthle cells?
Could it be cancer? My thyroid levels have been off so they did the ultrasound and found nodules. Thyroid biopsy results showing follicular lesion
You need an expert: A Thyroid specialist can help you to determine if the nodules in your Thyroid are benign or Cancerous. Ask your doctor to refer you to an endocrinologist. A second opinion always helps if your doctor has not been able to sort things out for you clearly. ...Read more
I had a fna biopsy on my right side of neck. This was due to night sweats, fatigue, fever, and mass in neck. All results showed was moderate number of lymphocytes. Should we do more testing?
Upon how you are feeling! Your symptoms and physical findings (lymph node in neck =benign lymphocytes) all consistent with VIRAL infection. From which you should soon feel better....if not more tests are indicated!
Hope this helps
Dr Z ...Read more
What should I expect with a fine needle biopsy of my thyroid? What are the possible tumors or results?
Well tolerated: Many times we biopsy nodules seen on ultrasound. Most are benign. If a cancer is seen, most of the time it is papillary, and treatable with thyroidectomy and lymph node removal. There can be follicular cells seen, which usually results in removal of one side of the thyroid, as you can't tell for sure if its noncancerous follicular cells on fna. Rarely, they don't get enough cells to tell. ...Read more
Thyroid needle bx: You may need an Endocrinologist. Do you need a biopsy? Presumably you have an enlarged thyroid/nodules. A thyroid u/s is very sensitive at picking up even insignificant nodules. Fibrosis from Hashimotos doesn't need a bx. An Endocrinologist who does U/S guided biopsies is the best choice, but if none are available, some radiologists do this, but the interpretation can be tricky. ...Read more
Although you are nervous, be patient.
There are a lot of possibilities. The biopsy could be positive for cancer, negative or indeterminant. For this reason, you may need to seek the guidance of an Endocrinologist who has experience with thyroid cancer, if you have not already done so. ...Read more
No: Blood products, cells and vessels are in every tissue in your body, so inevitably they will be present in biopsies. Special stains and other substances are used to differentiate different cells and tissues. ...Read more
What is chromatin in thyroid fna biopsy slides? How to visualise? What am I supposed to be looking at?
DNA weave: Chromatin is the texture revealed by the dye that stains dna in the cell nuclei -- chromo-, chromosomes, color, dye. If you're not a pathology / lab tech learner, don't worry about it. Understanding the very subtle patterns and nuances are key to a pathologist's / cytotechnologist's education, and no one else needs to worry -- though there are photos online for everyone to enjoy. ...Read more
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
Not bad: It depends on your pain threshold but in general, it is not more than getting your lab draw, it's just intimidating because it's a needle in the neck. It's easy enough that some docs don't even need to give you numbing medication. ...Read more
Depends: Usually throud biopsies are not painful. The doctor will numb the skin over the site of biopsy and use very skinny needles to perform the biopsy. Occasionally, when there is an inflammatory condition in the thyroid the biopsies can be uncomfortable. ...Read more
Needle into nodule: 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 obtained for a diagnosis. ...Read more
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
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