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Columnar variant?

Hi:

I am trying to get a grasp my path report from total thyroidectomy.

My histology does not say well-differentiated. It just says "papillary
carcinoma." Does this mean my cancer is not well-differentiated?

My endo said that mine is a bit more aggressive based on the following in
the path report's Microscopic Description section: "identified lesion
showing both papillary structures and follicular structures lined by a columnar
to cuboidal epithelium." Does this mean I have columnar variant of
papillary cancer?

My endo did not indicate that she was worried. She even said that I might
not need RAI and if I did, it would be a low dose.

I am concerned about this. I am glad it was caught early but am scared
about the aggressiveness should it recur. The word "columnar" scares me. Am I
reading too much into this?

Thank you in advance for your time.
3 Responses
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Avatar universal
How big was the tumor?  It is papillary cancer, that is the type.  Pap cancer is the most common form of thyroid cancer and highly curable (around 99%). I have never heard of a columnar variant, but I am not a doctor, only a patient.  If your tumor is 1.5 cm or more, it is highly suggested that you undergo RAI, any smaller they do not recommend it.  If you have more than 1 tumor, it is suggested that you undergo RAI. Google any words that concern you with the tag thyroid cancer, you may get more information, but most of it you would need a background in medicine to understand.  The most agressive forms of thyroid cancer are Medullary and Anaplastic, you don't have those, so relax and listen to your Endo or surgeons.
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Avatar universal
I have one tumor with size of 1 cm.  Thank you for your reassuring words.
Helpful - 0
168348 tn?1379357075
I also was able to find some info on MedHelp with links to articles, more posts, etc.

http://www.medhelp.org/search?query=thyroid+cancer&camp=top_nav_search

Hoping this helps - please let us know how you are doing!

C~
Helpful - 0
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