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 I have this report and they want to do surgery. I want to make sure that is needed. This report says 4.2x7.2x3.1cm solid with fluid in center. Microscopic examination shows highly cellular sample, but without colloid in the background. Cells are seen in irregular clusters and sheets, with small, rare microfollicular aggregates. Nuclei are enlarged and round, with pale chromatin and occasional nuclear grooves, but no intranuclear cytoplasmic inclusion. Numerous sideorphages are present, indicating prior hemorrhage. It is regarded as abnormal, and suspicious for a follicular neoplasm (at least). this may be follicular adenoma'carcinoma, but a follicular variant of papillary carcinoma has been strongly considered. Could you put this in every day words...is it more likely than not this is cancer. If it is more likely to be nothing I would rather leave it alone. Thank You
Answer Hello Cynthia:
The report describes the appearance of follicular cell which are found in the thyroid.
Their appearance is not of clear cut cancer cells, however these are also not totally normal appearing.
The suspicion is that it is a type of follicular neoplasm. Which means it is either a benign growth or cancer having a pattern of cells called follicular. These are difficult to classify on FNAC and If there is a strong suspicion then only way to have a confirmed diagnosis is to take out the thyroid. It may still turn out to be nothing or could be cancer.
The fianl decision would rest with you and your doctor.
