Doctor insights on:
Suspicious Thyroid Nodule Biopsy
Yes.: The pain experienced after a thyroid nodule biopsy is highly variable. Depending on the size of the needle used, whether local anesthetic was given, and individual technique these factors will influence whether you have pain or not. There is also variation from one patient to the next. Generally speaking, the pain experienced is mild. ...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
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
Thyroid nodule: You may want to discuss with your doctor about ultrasound for cyst or solid and thyroid scan for hot and cold nodule also thyroid antibodies and thyroglobulin. Usually these tests are done before biopsy. Since you did not mention and I assumed they are not done. Therefore, recommending them. What was the basis for biopsy? Physical exam or one of these tests? ...Read more
Maybe: Most "inconclusive" thyroid biopsies are fine needle biopsies (fnas). "Inconclusive" ones are usually benign but occasionally are not, and this can only be established with a proper surgical excision and full pathology examination. This is the reason to remove a nodule... Not its size. ...Read more
Should biopsy be done on less than 1cm thyroid nodules with irregular borders? Why? Will it be accurate?
Depends: This depends on many factors — the presence of other signs (microcalcifications), the rate of growth, history of thyroid cancer in your family, the presence of thyroiditis, and the skill of th person doing the biopsy (should only be done with the use of an ultrasound as its probably too small to palpate). But generally if it's amenable to biopsy I would recommend it. Can also recheck it in 3-6 mo. ...Read more
I have several thyroid nodules and had the smallest biopsied. It is benign. Does that mean all the others are too?
Nodules: Not really — they should have biopsied a few more for completeness and we would all be satisfied. ...Read more
Yes: In general, if a nodule is very large, there is a higher chance that it can be called benign although it still could be cancerous because not all the nodule is typically cancerous. You could have one little speck of cancer that hide within the big mass and a biopsy could miss it because we can't "poke" you forever. However, if a biopsy came back "cancerous", it almost always is true. ...Read more
Good: Now relax, and go for your doctors regular scheduled follow up appointments. ...Read more
If they just found a 1.1 CM solid thyroid nodule how fast should I get it biopsy will this starts to grow very quickly?
Depends: You can get a fine needle aspiration, which is relatively non-invasive to obtain a diagnosis. Getting the advice of your clinician on this matter because he/she knows your clinical situation is recommended. ...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
4 weeks ago I had a biopsy done on a thyroid nodule which came back clear but I feel poorly, with symptoms of thyroid problems could it have changed?
Thyroid nodule: Usually don't cause symptoms unless large and pushing on nearby structures. Was your thyroid level checked and if so was it normal. If not checked it is a simple blood test so discuss with your doctor. ...Read more
I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?
Variable meaning: Follicular?patterned lesions of the thyroid are common; these include hyperplastic/adenomatoid nodules, follicular adenoma, follicular carcinoma and follicular variants of papillary carcinoma. Repeat biopsy with a sample sent for a genetic afirma assay may give additional useful information. In addition, discuss with your endocrinologist. ...Read more
Repeated thyroid nodule biopsy cold solid 3x7cm. How could he not get enough cells with such a large nodule? Also, 2.4cm cold follicularGenetic testing
Possible: May be if nodule has fluid (Cyst) may not get cells (how many times was done? More than twice is unusual) . If strongly suspicious for malignancy an image guided core needle biopsy, or even removal (surgery) Discuss with your doctor, plan of treatment Do not ignore if necessary take second opinion. ...Read more
Needle biopsy : Nodules of that size can be biopsied using a technique called fine needle aspiration. The skin over the nodule is numbed with a local anesthetic. Then, usually with ultrasound guidance, a needle is passed through the skin into the nodule. A small sample is taken and then analyzed under a microscope. ...Read more
Why do I need another ultrasound after biopsy for thyroid nodule I had an ultrasound ten days ago?
No: Not unless there has been a significant clinical change or another biopsy is required. Repeat biopsy will be necessary at intervals to evaluate progress and possible therapies. ...Read more
I'm 28 years old, had a thyroid nodule for 2 years. Finally, got a biopsy. How likely is it to be cancer?
Diagnosed with multiple thyroid nodules and going back to talk about options or biopsy. What options are there other than biopsy?
Several options: Belfry: the fact that there are multiple nodules means that it is likely a benign multinodular goiter. Sometimes these are just watched with serial ultrasound exams as well as following your bloodwork. A biopsy is a fine needle aspiration and is minimally invasive. It is well-tolerated and you should do it if there is an atypical or dominant nodule that stands out from the rest. ...Read more
My thyroid level increased from .92 to 1.2 now 1.63 over 3 year period. Had 1cm thyroid nodules a year ago biopsied no result. Hot flashes related?
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
Better to wait: Cytopathologists may preferr that you wait a couple of months if it is slightly suspicious but inconclusive. Inflammation can make interpretion harder. On the other hand, if the fna was nondiagnostic because of too few cells, it is desirable to repeat it within a reasonably short period. ...Read more
What do these biopsy results of thyroid nodule mean ATYPIA OF UNDETERMINED SIGNIFICANCE OR FOLLICULAR LESION OF UNDETERMINED SIGNIFICANCE?
Re-FNA in 3-6 Months: Hi Jami, AUS/FLUS is a term that cytopathologists use for thyroid nodules that they basically are "unsure" about. Classic management for this diagnosis is to have a second repeat FNA in 3-6months. Nowadays though high tech molecular pathology tests can sometimes divide AUS/FLUS definitively into benign and malignant categories. Please setup a virtual consult with me for more information. ...Read more
1.5mm (yes, tiny) thyroid nodule found on ultrasound. Not characterized in any way except "solid nodule". Possible to biopsy at this stage?
What's your opinion on doing a fna biopsy on a thyroid nodule that is "ill-defined" and "hypervascular" but only 6 mm?
Do it: I've seen plenty of cancers that are plenty smaller. ...Read more
It's usually an ENT: Endocrinologist or interventional radiologist who does the procedure. Take care! ...Read more
Homogeneous solid thyroid nodule measuring 1.6x1.9x2.8cm increased peripheral and intranodular blood flow. Had biopsy. How suspicious and concerning?
Worth a Biopsy: It was suspicious enough to warrant a biopsy. You had one. The results will be back soon and you will know one way or another. Most turn out to be benign. ...Read more
Doctor said I should get a biopsy on my 6.5mm thyroid nodule. It's hypoechoic and nothing else suspicious on ultrasound. He said it's for "peace of mind". Is this normal practice for a small nodule?
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