Doctor insights on:
Nodule Fold Antrim Biopsy
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
Thyroid nodules: Thyroid nodules are common, and most are benign. Work up may involve a thyroid scan; if the nodule does not take up iodine, it is more suspicious. Some ultrasound features suggest more suspicion, and your doctor will want to biopsy those. Hashimotos thyroiditis can sometimes make a gland nodular, but hashi gives a different us appearance, and may have positive tpo antibodies. ...Read more
Depends: It is not possible to provide a meaningful opinion without examining the lesions. I trust that is what your doctor will do and make the right choice. ...Read more
Isthmus nodule 2.0x1.8x1.2 1year ago (biopsied benign, follow up scan no change, but right nodule 0.8x0.7x2.4cm that was not seen before. Biopsy?
Probably: If you have a new 2.4 cm right thyroid lesion, biopsy may be considered unless it has completely benign characteristics. ...Read more
Right isthmus a hypoechoic solid nodule 1.4 x.70 X11.3 CM min internal flow with ireg borders. Should I worry? Getting biopsy monday
Bone nodule: You know worrying never solves anything. Your doctor is concerned enough that they want to biopsy this nodule. So soon you will know what it is. With knowledge comes action. Then your doctors will have a plan, you will be able to discuss with them what the plan entails and you will be able to prepare instead of worrying. I hope everything turns out well. ...Read more
My biopsied nodule was deemed cancerous. The cancer m.D. Was perplexed that the nodule shrunk. I chose the wait and see choice. Was that wise?
Yes, but: Calcification of a lung nodule frequently indicates that it is benign in nature. It is the noncalcified nodules that are most concerning for lung cancer. And thus the noncalcified nodules that more frequently meet criteria that prompts biopsy of the nodule. Appropriate treatment of lung nodules is best done at facilities with experience ...Read more
Need more info: Where is the nodule? How big is it? Skin nodules are usually removed in entirety, however, nodules in the thyroid, breast etc may be biopsied. ...Read more
I was told I have a nodule on my thyroid and a biopsy is required. The thyroid is working, but there is a nodule, should I have a 2nd opinion?
I have had a intrathyroid parathyroidectomy. I now have three nodules one of which is small, cystic and with calcifacation. Do I need a biopsy?
Dear sirs! I have had a goiter for years and now since last year one complex nodule been growing 2 cm. Biopsy not suff. Cells may 2012 -new biopsy?
Repeat: If the nodule grew 2cm since your last ultrasound, then I would surgically remove that part if your thyroid. If, however, your thyroid nodule grew and is now 1 cm in size, then I would repeat the biopsy one more time. If this is still insufficient, then I would proceed to surgery. ...Read more
What should I expect for a biopsy of nodule in neck? Will it hurt? How long is the procedure? How many times will they stab? Will they numb the area?
Hope it helps: Surgeons may give a tranquilizer, general anesthesia, or local depending on how large the thing on your neck being biopsies is... If it is a lymph node and is small they may provide small local numb medicine and then inject with a needle to do another biopsy. If it is a skin biopsy again depending on the size can do a local numb as well. Anything larger they may perform general. You will do fine. ...Read more
Would you biopsy three nodules that are 3 mm, 5 mm, and 6mm in a patient that has had 6 months of chemo post rectalresection with 0/30 and 1.2 CEA lev?
Yes: Show them to your md to make sure but if they are new growths get a biopsy or resection. ...Read more
I had a biopsy done in march. This was for a nodule on my isthemus. It was not cancer. However I have been having pain when bending my neck down and lifting it up. In the area.?
Scar tissue?: My guess is you mean the isthmus of the thyroid. Obviously it's been quite a while since the biopsy was done however scar tissue can occur which is tougher and less resilient than normal tissue. This can bind surrounding tissue like tight strings. Consider a follow-up evaluation with your surgeon to see if there's any exercises or local massage that might loosen things up. ...Read more
I can feel a small seed like nodule in my scrotum. Do I have to do a biopsy? Or what are your opinions?
To see your DR: Most likely you have a cyst, fits your description, please see your doctor will tell you what it i, then you decide., if it is cyst to take it out or want to wait. ...Read more
Ok to refuse: If the thyroid nodule is stable like you said, there is no need for a repeat biopsy (unless the last one didn't get enough materials or if your doctor was concerned about something with the last biopsy). Discuss this thoroughly with your physician. As long as you continue to follow the nodule, you will be able to intervene sooner if something changes. ...Read more
Options: A suspicious nodule must either be rebiopsied in 3-6 months, reultrasounded in 6-12 mo looking for enlargement, or if it is a suspicious follicular lesion then affirma or vericyte analysis of the nodule proteins or possible oncogenes which can point to the nodule as suspicious (needs removal) or benign which can be watched. Would review with endocrinologist or experiences thyroid surgeon. ...Read more
Options: Are you having compressive symptoms now? Do you feel the nodule/s when you swallow? How big are the nodules? I agree with the recommendation to have another pathologist look at the "suspicious" slides. In any case, you will need to follow the size of the nodules serially to track changes. ...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
Utz shows nodule is most likely fibroadenoma 1cm x 0.4cm. I'm 29 y/o do I need FNA biopsy. My mom has breast cancer?
Fibroadenoma: Fibroadenoma is a benign well circumscribed tumor with two components, epithelium and stroma. Only very rarely is the epithelium found to be atypical enough to be called carcinoma in situ and much more rarely to have invasive cancer. Another tumor called phyllodes Tumor can resemble Fibroadenoma closely and does have malignant variants. Good pathology exam is useful here. FNA or core bx OK. ...Read more
Yes: It is a relatively painless technique for diagnosing a nodule. Depending upon the location of the nodule, it is often combined with a radiologic method to confirm correct needle placement, ie, ultrasound, ct. The main drawback is that it only yields cells for evaluation; core needle biopsy will obtain tissue but some nodules are too vascular to permit a core biopsy, ie, thyroid nodules. ...Read more
Thyroid u/s reviled “solitary right of midline, 9mm complex cystic nonvascular ismuth nodule”. Should I be worried / biopsy?
Possibly: The ultrasound should be followed up with an appointment with an ear, nose and throat surgeon to discuss biopsy vs an additional nuclear medicine test that can give more information about the nodule. There should also be some lab tests done to measure thyroid hormones. All of that information will be used in making the best decision for you. ...Read more
I had a 6m repeat thyroid u/s due to a nodule. First was 5.3mmx4.9x3.3 now it's 6.5mm x5.5x3.3. hypoechoic in ll pole. Worrisome? Can it be biopsied?
If a biopsied 1.7 x 1.2 x 1.0 CM isoechoic nodule (nonspecific) turns out cancerous, wouldn't the biopsy itself break the enclosure and spread cancer?
No: Biopsies are performed by either fine needle aspiration FNA) or core biopsy. Both techniques are specifically designed to prevent any contamination along the track of the needle. FNA uses suction to pull tissue into a syringe. Core biopsy uses a shield that is pushed down over the needle before it is withdrawn. There have never been any instances of these techniques causing spread of the tumor ...Read more
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