hello all, this forum has offered big helps in the past, i really appreciate that. now, a new issue has just come up - after a series of doctor's office visits, blood work, ultrasound, and finally, the fine needle aspiration, it is confirmed that the dw is with papillary carcinoma of the thyroid. it's shocking to us, as we have always been living a healthy and active lifestyle. there were no symptoms upto the date of biopsy; and the thyroid nodules were only noticed on an annual physical checkup...
here is the content of the biopsy report:
(1) diagnosis:
positive for malignancy: papillary carcinoma of the thyroid
(2) the microscopic description:
the second portion of the specimen is examined as four papanicolaou stain fixed smear, one papanicolaou stain fixed thinprep slide. the smears show numerous epithelial fragments present in a background of blood, inspissated colloid globules, and cellular debris. the epithelial fragments are small to intermediate size. these show a significant subset that exhibits nuclear enlargement, nuclear overlap, fine chromatin, small nucleoli, and rare inclusions. however, these are present in degenerate epithelial cells.
the thinprep slide shows numerous inspissated colloid globules, and multiple fragments of follicular epithelium. these show a biphasic appearance with most appearing as small nondescript epithelial fragments with orderly bland regular round nuclei. a subset shows more abundant lightly staining cyanophilic and granular cytoplasm. they have nuclear enlargement, nuclear elongation, fine chromatin, small nucleoli, and longitudinal nuclear grooves.
these are atypical follicular epithelial fragments representing papilary carcinoma of the thyroid. dr. suzanne xxx, a cytopathologist, has reviewed this case and concurs.
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questions -
if need be, is it best to remove the thyroid immediately because of the biopsy disturbance/agitation?
what need to be cautious about?
what foods to eat or to avoid?
thank you much in advance!!
seeking advices from endocrinologists
所有跟帖:
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都positive for malignancy了, 還不拿掉? 醫生沒讓拿掉嗎?
-夢中夕陽-
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05/24/2015 postreply
16:52:35
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we just got the report friday afternoon. will talk to dr on tue
-老生長談-
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05/24/2015 postreply
17:05:00
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Agree!
-禦用文人-
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05/24/2015 postreply
17:11:26
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多謝文人。這樣我們跟醫生見麵時心理就有數了
-老生長談-
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05/24/2015 postreply
18:01:54
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當然越早越好, 但一個也許ok的, 但放在那裏會有精神負擔的。
-芒果妹妹-
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05/24/2015 postreply
18:29:44
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我指一個月
-芒果妹妹-
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05/24/2015 postreply
18:32:09
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甲狀腺腫瘤比較慢發展, 愈後都不錯, 尤其如果你45歲以下。
-laoyueyue-
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05/24/2015 postreply
17:17:50
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嗯, 我也這麽覺得, 就是需要長期吃藥以後, 千萬別太緊張了。
-夢中夕陽-
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05/24/2015 postreply
17:36:10
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dw 55 歲。醫療網站上都說年輕有很大優勢
-老生長談-
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05/24/2015 postreply
18:03:52
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不用緊張的, 開刀, 碘處理, 終生吃藥。
-芒果妹妹-
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05/24/2015 postreply
18:25:06
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謝謝芒果妹妹; 謝謝以上所有的回複!!
-老生長談-
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05/24/2015 postreply
20:20:22
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嗬嗬!這芒果妹子也像是一個愛幫助人的急性子。。。
-禦用文人-
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05/25/2015 postreply
12:31:51
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病從口入,請參考
-littlecat8-
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05/25/2015 postreply
05:41:04
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謝謝你的總結。確實是病從口入。
-老生長談-
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05/25/2015 postreply
06:50:58