Showing posts with label FNA. Show all posts
Showing posts with label FNA. Show all posts

Monday, August 23, 2010

Confusion

My doc’s office faxed the cytology report to me this morning, but rather than illumination, I have received confusion.

Literally all the report says is:
Right thyroid nodule (fine needle aspiration)
--Hypercellular aspirate fluid composed of blood with scant colloid and cytologically atypical follicle cells
--Excision of this lesion is recommended

Note: Four smears are reviewed

It is my understanding (from the famous literature) that the “hypercellular aspirate [. . .] with scant colloid” is typical of follicular neoplasms, while “cytologically atypical follicle cells” is of no help whatsoever. “Atypical” how exactly? Okay so “not normal” but there are oh-so-many ways for a cell to be “not normal.” And are there scant cytologically atypical follicle cells, or is it scant colloid. . .AND THEN ALSO cytologically atypical follicle cells? If there are lots of cells (hypercellularity) but scant cytologically atypical follicle cells, then shouldn’t this be re-biopsied rather than sent straight in for surgery?

Well, but this paper suggests that my risk of cancer is now hovering around 25%, so not as bad as I thought, but still worse than a 1% chance.