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Doctor insights on: Thyroid Fna Biopsy

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Is a thyroid nodule fna biopsy painful?

Is a thyroid nodule fna biopsy painful?

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

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Dr. Al Hegab
2 doctors shared insights

Biopsy (Definition)

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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Can another fna thyroid nodule biopsy be taken 2 weeks after a previous fna biopsy?

Can another fna thyroid nodule biopsy be taken 2 weeks after a previous fna biopsy?

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 of time. ...Read more

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Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

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

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Is a heterogeneous thyroid nodule cancerous?

Is a heterogeneous thyroid nodule cancerous?

Possibly: Each thyroid nodule has an approx. 5% chance of malignancy, thus a heterogenous could be cancerous. Looking at it the other way, a heterogenous nodule has a 95% chance of not being cancerous. ...Read more

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Dr. Liawaty Ho Dr. Ho
8 doctors agreed:
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Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Dr. Liawaty Ho Dr. Ho
8 doctors agreed:
Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Second opinion: If after a thyroidectomy, your local pathologist still can't differentiate between goiter or cancer ask your doc to request the pathologist to send the tissue to a bigger referral institution for a second opinion. ...Read more

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Ultrasound showed circumscribed solid 2.7cm nodule. FNA showed Follicular lesion.Thyroseq was non diagnostic. Need 2nd FNA and 2nd thyroseq.Why?

More information: Dear patalbre34: Are you referring to a thyroid ultrasound? If so, most likely, the FNA and Thyroseq were not enought to make an accurate diagnosis. The needles used for this procedure are very tiny and sometimes the amount of tissue that you get from them is not enough to make an accurate diagnosis. Hope this helps. All the best, Ariel ...Read more

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Do all thyroid nodules require a fine needle aspiration biopsy?

Do all thyroid nodules require a fine needle aspiration biopsy?

No, but: That's a very complicated question. The short answer is no, but the nuances of which thyroid nodule to biopsy and when are complex and beyond the context of this forum. ...Read more

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Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?

Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?

10---15 days: You have autoimmune hypothyroidism and need to to be seen by an endocrinologist , who want to be sure cold or hot nodules and act accordingly and adjust synthroid (thyroxine). ...Read more

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Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Biopsy: I agree. A nodule this big should be biopsied. Chance of malignancy is low but you need to do it to find out. ...Read more

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Is afirma thyroid fna analysis-molecular marker test by veracyte any good for diagnosing papillary thyroid cancer? Http://carolinaendocrine.Com

Is afirma thyroid fna analysis-molecular marker test  by veracyte  any good for diagnosing papillary thyroid cancer?
Http://carolinaendocrine.Com

Pathologist: Already answered(and saw some other answers) to this post earlier today; there is no better way to diagnose this than with a tissue biopsy and an experienced pathologist. ...Read more

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3 thyroid nodules, hypoechoic solid nodule with few tiny calcified 1st FNA is benign follicular lesion and 2nd is benign follicular nodule,possible?

3 thyroid nodules, hypoechoic solid nodule with few tiny calcified 1st FNA is benign follicular lesion and 2nd is benign follicular nodule,possible?

Thyroid follicles: Most likely, the ultrasound is picking up benign follicular cysts, or areas of "colloid" (where thyroid hormone is made) arranged in a circular pattern or nodule. From the description (& the 2 FNA biopsies) it's unlikely to be cancer. In certain parts of the world (40% of it), iodine deficiency is common & thyroid nodules are prominent. http://www.mayoclinic.org/diseases-conditions/thyroid-nodules ...Read more

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1st FNA is benign follicular lesion, u/s ;hypoechoic thyroid nodule with few small calcifications, 2nd FNA ; hard consistency solid nodule,%ofcancer?

1st FNA is benign follicular lesion, u/s ;hypoechoic thyroid nodule with few small calcifications, 2nd FNA ; hard consistency solid nodule,%ofcancer?

Talk to YOUR MD: You clearly have a thyroid problem, and this needs to be discussed in context of the bigger clinical picture. If you have had FNA done, you have a doc following you. See them and ask what this means in your case and what should be done next. Lab results never occur in isolation. They occur in people, and the whole person has to be considered when making a diagnosis and treatment plan. Best wishes! ...Read more

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Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?

MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. Thats high. I would see a surgeon to discuss if this warrants thyroidectomy. thanks ...Read more

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Can follicular adenoma thyroid nodules be serious?

Can  follicular adenoma thyroid nodules be serious?

Yes.: A follicular adenoma may be a wolf in sheep's clothing, because cells from follicular adenomas and follicular carcinomas can look the same. Other follicular adenomas may have almost no chance of being cancers, but overproduce thyroid hormone, and need treatment to prevent harmful effects of hyperthyroidism on the bones, heart and other tissues. ...Read more

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Test results are multinodular goiter so radionuclide thyroid scan?

Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read more

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What medications treat follicular adenoma thyroid nodules?

What medications treat follicular adenoma thyroid nodules?

None: Medications are not used to treat follicular thyroid nodules. Usually they are observed only or removed surgically. ...Read more

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Anyone have experience with the affirma thyroid fna biopsy?

Thyroid: Used if thyroid biopsy shows a follicular lesion. The affirma assay is a molecular classifier test that shows if that nodule us benign early use show promising results. Expensive test that few insurance companies will pay for. ...Read more

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Can blood on thyroid fna biopsy sample slides cause distortion of cell groups?

Can blood on thyroid fna biopsy sample slides cause distortion of cell groups?

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

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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

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Is a thyroid nodule fna biopsy painful?

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

See 2 more doctor answers
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Can another fna thyroid nodule biopsy be taken 2 weeks after a previous fna biopsy?

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 of time. ...Read more

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Can taking a prescription anti-inflammatory medicine (Mobic) interfere with thyroid biopsy (FNA) results? Or a daily allergy pill (Claritin)?

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

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Had a FNA biopsy on my thyroid a week ago and my dr will not return my call??

Had a FNA biopsy on my thyroid a week ago and my dr will not return my call??

Be patient: 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

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My neck is still stiff ten days after a thyroid fna. Is that normal? Hurts more if i turn my head left also (biopsy was done on left side).

No, it is not: You should contact and inform your doctor. There should be no pain after a regular fna. It is possible there was some bleeding or more trauma than normally. Your doctor can check it and give you some pain medication, if needed. ...Read more

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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?

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

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Can i request my thyroid to come out if fna showed atypical? My isthmus cold nodule is 2.7cm my doctor might want another biopsy, but i dont...

FNA vs Surgery: Surgery is generally suggested given the size of the nodule and FNA results. But, a repeat FNA is perfectly okay. Also, there are gene profiling tests available now that you may want to do; requires FNA. Please discuss with your endocrinologist. ...Read more

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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

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solid thyroid nodule was 3.3 last year now 3.5 cm. fna biopsy normal in 2011. should i be concern. endo said see me one yr with ultrasound. worried?

Thyroid nodule: You already know that the nodule was benign in 2011. 3.3 vs 3.5 cm is basically the same. Since you had the ultrasound, you should see your endo, and probably get new set of thyroid tests, but it does not need to be urgent if you are feeling well. ...Read more

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Do all thyroid nodules require a fine needle aspiration biopsy?

No, but: That's a very complicated question. The short answer is no, but the nuances of which thyroid nodule to biopsy and when are complex and beyond the context of this forum. ...Read more

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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?

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?

Depends: 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

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I have a swollen lymph node in the neck for two months now, fna biopsy negative of lymphoma. Breast and armpit sore and neck pain what is this?

Lymph nodes: Without adaquate tissue biopsy it is not possible o say for sure. FNA is never an acceptable test when evaluating lymphoma and the appropriate course is exceisional biopsy. ...Read more

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Dr. Susan Wingo
174 doctors shared insights

Fine Needle Aspiration (Definition)

Fine needle aspiration is when a doctor inserts a small needle into a part of the body to withdraw cells or fluid. This is typically done to capture a tissue sample to send to ...Read more


Dr. Sandra Eleczko
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more