Aa
Pathology report
Guess I need to post here where all the people are!!!!
Went to pre-op today, this is my pathology report. I really don't understand the oncocytic word (will have to look it up)--from what I was told, it is good news. As 'far as they can tell' it is confined to the thyroid. I will have tt on 11/18, start Synthroid 125 mcg. in hospital, will deal with radiation after thyroid heals.
Okay, I am ready for you to grade me in understanding!!! Did I aget an A?
COMMENT:
Thank you for sharing this most challenging case with us. In our opinion the larger nodule represents an oncocytic follicular variant of papillary carcinoma. The follicles present within this lesion are large in caliber and are lined by cells that are though oncocytic, show nuclear features, namely enlargement clearing elongation, overlap, and membrane irregularities (particularly on slide A4), that are compatible with the below diagnosis.
Additionally we found at least three incidental foci of papillary thyroid microcarcinoma present on A3 and A5 (your original slides), and A4 (our recut)
FINAL DIAGNOSIS:
Part 1: Thyroid, right lobe, lobectomy (8.3 grams) (OSS S08-7463, 10/21/2008)
A. Papillary thyroid Carcinoma, oncocytic variant (1.5cm)
B. Three additional foci of papillary thyroid microcrcinoma (Range : less than 0.1 cm to 0.1cm)
C: No angiolymphatic invasion present, all foci confined to thyroid.
D: Intrathyroidal thymus.
Part 2: Parathyroid, right excision (8.3 grams)
A. Normocellular parathyroid
B. Thymus with no significant Abnormalaties.
Went to pre-op today, this is my pathology report. I really don't understand the oncocytic word (will have to look it up)--from what I was told, it is good news. As 'far as they can tell' it is confined to the thyroid. I will have tt on 11/18, start Synthroid 125 mcg. in hospital, will deal with radiation after thyroid heals.
Okay, I am ready for you to grade me in understanding!!! Did I aget an A?
COMMENT:
Thank you for sharing this most challenging case with us. In our opinion the larger nodule represents an oncocytic follicular variant of papillary carcinoma. The follicles present within this lesion are large in caliber and are lined by cells that are though oncocytic, show nuclear features, namely enlargement clearing elongation, overlap, and membrane irregularities (particularly on slide A4), that are compatible with the below diagnosis.
Additionally we found at least three incidental foci of papillary thyroid microcarcinoma present on A3 and A5 (your original slides), and A4 (our recut)
FINAL DIAGNOSIS:
Part 1: Thyroid, right lobe, lobectomy (8.3 grams) (OSS S08-7463, 10/21/2008)
A. Papillary thyroid Carcinoma, oncocytic variant (1.5cm)
B. Three additional foci of papillary thyroid microcrcinoma (Range : less than 0.1 cm to 0.1cm)
C: No angiolymphatic invasion present, all foci confined to thyroid.
D: Intrathyroidal thymus.
Part 2: Parathyroid, right excision (8.3 grams)
A. Normocellular parathyroid
B. Thymus with no significant Abnormalaties.
Are you having a partial or TT?
Anytime you see the word "Onco" in front it usually means cancer.
No lymph node involvement
You have 2 micro papillary microcarcinomas, too, like mine which they call incidental when tiny .. yours or really tiny .. as in 1.0mm ... mine removed were >5.0mm and the one on the other side is 4.0mm.
I'm not a dr., nor am I great at reading results, but these are my thoughts.
And, my opinion as a patient ... TT or nothing.
C~
Anytime you see the word "Onco" in front it usually means cancer.
No lymph node involvement
You have 2 micro papillary microcarcinomas, too, like mine which they call incidental when tiny .. yours or really tiny .. as in 1.0mm ... mine removed were >5.0mm and the one on the other side is 4.0mm.
I'm not a dr., nor am I great at reading results, but these are my thoughts.
And, my opinion as a patient ... TT or nothing.
C~
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