Doctor insights on:
Pet Thyroid Cancer Diagnosis
Is afirma thyroid fna analysis-molecular marker test by veracyte any good for diagnosing papillary thyroid cancer?
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Good diagnosis technique papillary cancer?
Start w/the basics: A better question is: how do you diagnose a thyroid mass? Since 99% of thyroid masses are benign, you wouldn't start out by looking for one type of tumor. Feel the neck and observe for multiple lumps. Go to an ultrasound to check out the fluicd content (suggesting cysts). If it appears to be a solid mass, go for either a nuclear scan or a needle biopsy. Open biopsy or surgery comes last. ...Read moreSee 2 more doctor answers
Surgery: Surgery is needed, followed by thyroid hormone replacement. Depending on how big, what type and whether or not it had spread (lymph nodes involvement), you might also need 1 dose of radioactive iodine. Good luck. Make sure you have a good surgeon and an endocrinologist on your team. ...Read moreSee 4 more doctor answers
Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?
Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more
Can metastatic papillary thyroid cancer spread to the parathyroid? Is this rare? Can recurrent pap thyroid cancer show up on parathyroid?
parathyroid: Presumably you have had surgery followed by radioactive iodine. This could damage the parathyroid and cause hypoparathyroidism, although this usually does not happen. Thyroid cancer spreads locally (within the neck), and that could damage the parathyroids more, but again, this does not usually happen. Check this out with your endocrinologist. ...Read more
My pet scan was highly suspicious for malignancy in rt lung.Now onto Bronchoscope so didn't pet confirm cancer?This cancer isn't curable!
PET scan helps but n: A PET scan can show an abnormality where body cells are overactive. This happens commonly with Cancer and with any Infection or inflammation. So a biopsy is required to make the distinction between Inflammation and Cancer. A bronchoscopy may show the tumor or it may be used to get a biopsy by getting near to the tumor ...Read more
Several factors: Amount of rai dose is caliculated , based on several factors, age, sex, body weight , extent of disease, blood levels reaching less than bone marrow toxic dose of lees than 200 rad . Dose varies li greater than 1.10 (30mci) most of the doctors will not bother to know as the expert radiotherapists doctors who are specially trained will calculate and administer ri. ...Read moreSee 1 more doctor answer
FNA or surgery: The best way to diagnose thyroid cancer is in surgery. The surgical specimen give you the most tissue to look at. It can also give you a "gross" view of whether the nodule had spread through the thyroid capsule (an indication of cancer). That being said, most patients don't jump to surgery right away. In that case, an ultrasound guided fine needle aspiration is often perform to eval cancer. ...Read moreSee 4 more doctor answers
FNA nodule , AFIRMA result suspic thyroid cancer had tot thyroidectomy, pathology has entire specimen yet can't determine if cancer or not why?
False-pos Afirma?: Afirma testing has been in clinical use for several years. It now appears that Afirma testing is clinically useful when it is negative and not when it is positive. This has been my experience and I am not sure there is supporting data regarding this. So, in your case, the Afirma test was probably falsely positive, and that the nodule was benign. My best guess. ...Read moreSee 1 more doctor answer
Can fna of thyroid nodule spread cancer if malignant? Also 6mm suspicious finding. Would that require surgery or observation? No thyroid issues.
Depends on pathology: Needle aspiration theoretically can spread cancer, usually breast or liver cancer. Thyroid, no data but possible. Did you have a suspicious finding on a biopsy? Meaning that a pathologist looked at the biospy under a microscope and thought the cells were suspicious for cancer. Normally a 6 mm nodule would be low risk and could be observed. How was the size determined? Suspicious cells = surgery. ...Read more
History invasive breast cancer, US of thyroid show multiple solid nodule, largest 1.5 CM w/microcalcifications & hypervascularity. Odds of malignancy?
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