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What does this pathology report indicate?

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Posted on Wed, 18 May 2016
Question: Please help me understand my pathology report and what it means
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Answered by Dr. Shehzad Topiwala (25 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
It appears to be an incomplete report.

The report says page 2 of 3 implying that there is a first and third page missing. The final impression of the pathologist typically features at the end. This is quite important.

So please send the whole report.

In the meanwhile, review of this one suggests you were operated for parathyroid and a thyroid nodule was biopsied. Unless both represent biopsy specimens but that seems unlikely.
However it is unusual for thyroid biopsy specimen to be sent along with an apparently removed parathyroid gland.But it is not impossible though.

Anyhow, there is no gross evidence of worrisome findings evident on the report such as cancer. Moreover, the pathologist has been unable to identify parathyroid tissue in the sample provided.
This is considered definitive evidence that what was thought to be parathyroid during surgical removal or biopsy, is not parathyroid. The pathologist found it to be of thyroid origin
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shehzad Topiwala (31 minutes later)
Sent other pages. My endo wants to remove right side of thyroid and send for confirmation of or not cancer
doctor
Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Follow up

Detailed Answer:
I have studied the additional papers.

The option given to you by your endo is fair.
However, the extent of surgery (ie half versus the whole thyroid) also depends on the size of the nodule on ultrasound, among several other characteristics such as presence of nodules on the other half of the thyroid, and family history of thyroid cancer, just to name a few factors that would be really important in the final decision making.
So it is between you , the surgeon and the endocrinologist to make the call.

It is likely your endo has checked your TSH. If not it should be done.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What does this pathology report indicate?

Brief Answer: Thyroid Detailed Answer: It appears to be an incomplete report. The report says page 2 of 3 implying that there is a first and third page missing. The final impression of the pathologist typically features at the end. This is quite important. So please send the whole report. In the meanwhile, review of this one suggests you were operated for parathyroid and a thyroid nodule was biopsied. Unless both represent biopsy specimens but that seems unlikely. However it is unusual for thyroid biopsy specimen to be sent along with an apparently removed parathyroid gland.But it is not impossible though. Anyhow, there is no gross evidence of worrisome findings evident on the report such as cancer. Moreover, the pathologist has been unable to identify parathyroid tissue in the sample provided. This is considered definitive evidence that what was thought to be parathyroid during surgical removal or biopsy, is not parathyroid. The pathologist found it to be of thyroid origin