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About Neha Dahiya MD
Expertise
I can help patients understand their lab report results, help them with queries regarding what pretest preparation is required. How often a follow up test needs to be done. What does a particular tissue biopsy report mean in everyday English. I can explain the biopsy or cytology procedure. I can deal with Histopathology / cytology / clinical pathology and clinical chemistry queries. Helping in this manner will be my contribution to the community.

Experience
I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multi specialty hospital laboratory.

Organizations
Indian association of pathologists and microbiologists.
MIAC - Member International Academy of Cytology
International association of Pathologists - indian division
Indian association of Cytology

Education/Credentials
MD (pathology) MBA

 
   

You are here:  Experts > Health/Fitness > Medical Specialists > Pathology > confusing results with Thyroid biopsy

Pathology - confusing results with Thyroid biopsy


Expert: Neha Dahiya MD - 10/3/2009

Question
Hi, I recently had a hemithyroidectomy due to hyperplastic cells (on the left).  I have anxiously been awaiting the pathology report, only to have my doctor tell me that there were conflicting opinions and they are sending it to a lab abroad (I live out of the US). Of course this worries me, in what situations does this happen, is it usual, is it that difficult to determine if the cells are cancerous or ok?  Is there more to it than this?? The  FNA of the right side was ok.
Thanks alot

Sandy

Answer
Hello Sandy:

It is difficult to say what the diagnosis is without having a look at the slides. Any diagnosis can have different opinions and if two people do not agree then a third opinion is sought.

On FNA only cells are aspirated and if a  pathologist is not trained in cyto-pathology they may not be very confident on reporting the findings.

Some follicular lesions of thyroid can be difficult to ascertain as benign or malignant (cancer) on cytology and require an excision biopsy for a definitive diagnosis.

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