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 A focal tracer uptake in descending colon led to diagnosis of 1cm pedunclated polyp in descending colon 40 cm. from anal verge.Biopsy revealed moderate dysplasia.
A sol measuring 2.5/2 cms in segment VI of right lobe. FNAC revealed benign hepatocytes and biliary ductal epithelial cells. MRI indicated FNH.Have been advised repeat FNAC for SOL in liver and colonoscopy for colon after two months. Tumor marker tests normal.In case second FNAC also same, what will be done? Worried. Kindly advise.
Answer Hello:
FNH or focal nodular hyperplasia of liver is a benign lesion and does not transform to liver cancer. So if the repeat FNA indicates that it is FNH nothing further needs to be done. surgical removal is very rarely required.
On the other hand the more serious diagnosis is of the polyp with dysplasia. Dysplasia is changes in cells which are not clearly normal nor do they have features to label them as cancer cells so they are in between. Such polyps carry a risk of cancer. Exactly how much increase in risk is there for moderate dysplasia is hard to say. Followup colonoscopy is best to check occurrence of new polyps.
