AboutNeha 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
Question Recently received the following results from my thyroid, right complex nodule, FNA:
Satisfactory for evaluation.
Follicular Lesion See Comment.
Comment:
the right thyroid nodule shows sheets of mostly bland follicular cells with occasional nuclear enlargement and nuclear grooves. Intranuclear pseudoinclusions and calcifications are not identified. The background contains small amount of watery colloid and macrophages. The differential diagnosis includes hyperplastic/adenomatoid nodule, follicular adenoma, and follicular carcinoma.
Gross Description: Received 30 ML of Pink Fluid in Cytolyt. 2 Alcohol fixed and 2 Air dried slides. Could you please provide your opinion. Thank you for your time.
Answer Hello Pat:
The report essentially shows normal looking cells which are found in the thyroid.
The first two diagnosis are benign. On cytology it is difficult to differentiate between follicular adenoma and carcinoma.
These findings need to be correlated with Thyroid function tests, and thyroid imaging to arrive at a final diagnosis. If there is doubt even then then the option of removing the nodule will be considered.
