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What Do These FNAC Findings Indicate?

Posted on Tue, 16 Jun 2015

Question: I had a fna done and the resluts have came back they said suspicious for follicular neoplasm with cellular aspirate of follicular cells with predominantly microfollicular architecture with scattered isolated cells and no colloid and then it says see comments

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
You may need further investigations like biopsy,thyroid scan etc.

Detailed Answer:
Hello

FNAC findings may indicate doubtful follicular thyroid neoplasm.However,FNAC is not confirmatory.You may need further investigations.FNAC can't differentiate many factors.
Investigation may include thyroid scan,biopsy and thyroglobulin estimation(it is a tumour marker).
Biopsy is important and it is helpful in diagnosis.

Proper treatment depend upon clinical findings and investigations reports.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (33 minutes later)

their is also a differential diagnosis includes hyperplastic adenomtiod nodule of goiter versus follicular adenoma follicular carcinoma follicular variant of papillary carcinoma

Answered by Dr. Indu Kumar (4 hours later)

Brief Answer:
Yes,these may be differential diagnosis.

Detailed Answer:
Hello

Yes,these may be differential diagnosis because FNAC is not confirmatory for follicular carcinoma.This is the reason for advising biopsy.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar