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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Confirm Thyroid Cancer?

I undergo fnac ,It shows good cellurlarity showing many groups, clusters and sheets of follicular cells most of which show degenerative cytoplasm and small round to oval nuclei. Many scattred bare nuclei are seen. Many hemosiderin laen macrophages are seen. Few scattered hurthle cells are seen. abundant colloid is seen in slightly a haemorrhagic background. i am worried. please tell me is it thyroid cancer?
Tue, 2 Jun 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The above findings of thyroid FNAC show that there are small groups of cells which are scattered with scanty cytoplasm. There is good cellularity and no observation of irregular cells or mitotic activity. Mitotic activity is cell division and when there is any cancer the cells divide rapidly and in disorderly. This is not seen in your case. Therefore most likely this is not a cancer.

There is also mention about a hemorrhagic background. This is due to blood components and usually a technical observation. If required, your doctors might consider an excision biopsy depending on the size of the thyroid swelling and any associated symptoms. Please do not worry.
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How To Confirm Thyroid Cancer?

Hi, Thanks for writing in. The above findings of thyroid FNAC show that there are small groups of cells which are scattered with scanty cytoplasm. There is good cellularity and no observation of irregular cells or mitotic activity. Mitotic activity is cell division and when there is any cancer the cells divide rapidly and in disorderly. This is not seen in your case. Therefore most likely this is not a cancer. There is also mention about a hemorrhagic background. This is due to blood components and usually a technical observation. If required, your doctors might consider an excision biopsy depending on the size of the thyroid swelling and any associated symptoms. Please do not worry.