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reading a fna report

Follicular neoplasm  Follicular lesion with some features suggestive og but not diagnostic for papillary carcinoma follicular variant description  Cellularity is moderate architecture includes loose groups  individual cells show necular changes that include necular enlargement and elongation and few neclear grooves  rare intranuclear inclusions  collioid is abundant   What does all this mean???? is it positive for cancer measurments on ultrasound are 1.3x1.7x1.2cm 1.1x1.0x0.7cm  0.7x0.9x0.7cm   0.4x0.5x0.5cm
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97953 tn?1440865392
MEDICAL PROFESSIONAL
Sorry for the delay -- surgery was the right thing to do.  These types of reports are associated with a 70% chance of cancer - it should have said "suspicious for papillary thyroid cancer" on the report, but apparently did not.  If cancer, this is most likely a follicular variant papillary thyroid cancer which behaves like classic papillary and is very responsive to treatment.
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Avatar universal
I just went thru the same thing. Anytime a biopsy comes back with any type of follicular, the only way it can diagnosed is by full pathology when they remove it (partial or complete thyroidectomy). I am not sure if this also applies to papillary (follicular variant), but I think it does. Mine was one of the "lucky" ones that did come back cancerous. Mine is papillary (follicular variant) with oncocytic (Hurthle) features with extensive vascular invasion. Yours is smaller than mine was, though (mine was 3.2x2.4x2 cm.
Thanks,
Stephanie
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Avatar universal
Thanks for input.  Just got home from hospital had a TT.  Thyroid itself measured 15 cm was wrapped around.  The Doctor thinks that the nodule is cancerous and took some muscle as well.  Go back in 2 weeks to discuss things
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