Doctor insights on:
Needle Biopsy Of The Thyroid
A needle biopsy (or fine needle aspiration) is a procedure whereby a thin needle (similar to one the is used for drawing blood), is guided into a lesion and cells are obtained and then placed immediately onto a glass slide for evaluation under the microscope. Unlike a biopsy where "chunks" of tissue are obtained, a fna often obtains only several drops of fluid that ...Read more
This is how I do it: After local anesthesia is given (an injection just under the skin), a very fine needle is guided into the thyroid nodule through ultrasound visualization. I repeat the needle pass 4 times. Each pass only lasts for a few seconds. It is very well tolerated and it takes 20 minutes or so in all. There are no special precautions after the biopsy, other than wearing a band-aid for 2-3 hours. ...Read moreSee 1 more doctor answer
Thyroid FNA: Assuming the fna sample was adequate and representative of the lesion, a diagnosis of a benign nodule means that it is very likely that your thyroid nodule is not cancerous. It should still be periodically evaluated by your doctor, just to make sure that there are no significant changes. ...Read moreSee 1 more doctor answer
Screening test: A fine needle aspirate is usually done if there is a nodule in the gland. It provides a limited sample but can be diagnostic depending on the cause of the nodule. It may show just fluid, if the nodule is a cyst to showing cancer cells if the nodule is cancer. A negative test does not rule out disease due to limited sampling. ...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 dont get enough cells to tell. ...Read more
I DO!!!: I have performed many thyroid fine-needle biopsies and have had more than a few biopsies of my own thyroid. To be honest, it hurt more than i expected when i had my first biopsy because i didn't anticipate that the thyroid has pain fibers (it does). However, the pain is very short-lasting and, as a typical low-pain threshold man/doctor, if i can handle it... ...Read moreSee 4 more doctor answers
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
If doctor recommends: Thyroid nodules are very common and don't necessarily have to be biopsied, especially if small and dont have concerning ultrasound features. The issue of which nodules to biopsy is a controversial one, best left up to your doctor. The fna of a nodule is a common procedure and done with only a tiny needle, so do not worry if you have to have this done. ...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
Usually ultrasound: Image-guided, minimally invasive procedures of thyroid most often performed by trained radiologist with experience in needle aspirations and ultrasound.Needle biopsies are usually done on an outpatient.May or may not numb area.Transducer over skin. Soreness for 1- 2 days.Physician inserts fine gauge needle through the skin and advances it into the thyroid nodule. Samples of cells are obtained. ...Read more
What's your question: It's a procedure performed all the time. ...Read more
Hi I've had a fine needle biopsy on a 7mm thyroid nodule with heterogeneous echotexture, central calcification. Should I be concerned, please answer.
No: If there was no evidence of malignancy you should not be concerne. ...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 moreSee 2 more doctor answers
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
Thyroid Nodules 3.6 left 3.4 right Is a needle biopsy practical at this size? Should we just schedule removal of the thyroid.
Big nodules: Hi. Those are big nodules. They should only have FNAB done if you plan to NOT remove them if they're benign. If they're bugging you and you want them out even if they're benign, then you can skip FNAB. ...Read more
A 2.3 CM solid nodule found on my thyroid on left lobe. No needle biopsy yet. Can I have the nodule only removed? Or is lobe removal the only way?
I have a dominant nodule seen in the medial inferior left thyroid measuring 1.5cm percutanous fine needle biopsy recommended. What does this mean?
FNA: FNA - fine needle aspiration, is a procedure where a thin needle is inserted directly into the thyroid nodule. Cells from the nodule are aspirated and put on glass slides and stained. The slides are looked at under the microscope and a diagnosis is given. The procedure is usually done after the skin has been numbed up with local anesthesia. Depending on the diagnosis, surgery may be necessary. ...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
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