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Ultrsound and FNA for thyriod
A 5×4mm nodule finds In left part of thyriod...after FNA it falls under bethesda 3 nodule..it mentioned that cell is round to oval shape with hyperchromatic nuclei, scanty cytoplasm arranged in small cluster and scattered singly against back ground of hamerroge..I attached the photo of report..plz explain
Answers (9)
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Would like to examine the thyroid swelling and know about other symptoms as well
Bethesda 3 is atypia of undetermined significance (AUS)
Will have to make sure to follow up the patient
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Right thyroid Nodule - FNAC - Bethesda II - CAN WAIT.
Left thyroid nodule - FNAC - Bethesda III and TIRADS IV.
FNAC says atypia of undetermined significance. The chance of it being cancer is 15% if cytoplasmic atypia and 45% in case of nuclear atypia. The details is not mentioned in the report.
Your Ultrasound says calcifications in the nodule and there is a node in level VI. With all these features my suggestion would be..
1. Left hemithyroidectomy - wait for the histopathology after surgery and decide of completion thyroidectomy. If not proceeding with completion, then follow up on right Lobe every six months.
2. Total thyroidectomy with central compartment clearance if frequent follow up is not possible.
3. Wait and repeat USG GUIDED FNAC after six weeks. Most likely will be the same report and we will be in this same place at that time too.
Next Steps
Meet a head and neck surgeon. Get left hemithyroidectomy done.
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You should go for thyroid function tests
And it seems operable
You should visit your nearby ENT specialist for further management
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This report is not satisfactory as Fnac was likely done without ultrasound guidance, u will need to repeat ultrasound guided fnac
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Dr. Sagar K. Chawla
General Physician
9 yrs exp
Sangrur
What are the symptoms? Is there any co-morbidity?
Next Steps
Thyroid function Tests
Health Tips
Sudden increase in size is dangerous
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Dr. Neeraj Aggarwal
ENT/ Otorhinolaryngologist
13 yrs exp
Rohtak
This is ultrasound guided FNAC only and no need to repeat FNAC again.
Get fT3, fT4, TSH done.
This patient must under hemithyroidectomy depending upon his thyroid profile as patient lies in high risk age group with multiple nodule
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Dr. Susan Pallicken
Ear-Nose-Throat (ENT) Specialist
8 yrs exp
Aurangabad
What are your symptoms ?
What’s your medication history?
Tsh levels?
Next Steps
Visit ent nearby, take further management
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Dr. Manasa M R
ENT/ Otorhinolaryngologist
7 yrs exp
Bangalore
Please share complete report
Also mention why scan was done ?
What are your symptoms ?
Do you’ve any visible neck swelling ?
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Dr. Apoorva Shakti Nigam
ENT/ Otorhinolaryngologist
13 yrs exp
Bhopal
Repeat USG guided fnac
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.