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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Biopsy Report Indicate?

I had my thyroid removed a year ago and believe now, it was likely done without cause. In 2005 my surgeon for another matter noticed I had lumps on my neck and he suggested I have them diagnosed if I had not already done so. So I had ultrasound and biopsies over the next ten years, which all came back negative and benign goiters. A year ago, I went to my GP and suggested we recheck them so she ordered another biopsy. This ultrasound and biopsy test was done at a different facility and pathology group. The report came back stating it found calcified nodules which some had increase and others decreased in size since the last report and recommended a follow up in 6 months. The lab work came back atypical follicular cells with some nuclear crowding with undetermined significance. I went back to my GP for a follow-up and she said based on this information she was sure I had cancer and she then referred me to a ENT doctor and an endocrinologist. I went to and asked each one why the reports do not say cancer anywhere? The surgeon then scheduled me for surgery. He was to then to only remove the portion where there were cancer and leave the right lobe that did not indicate any abnormality. I trusted him and I asked him if he could do that and he indicated yes and would act accordingly based on the in surgery pathology report. I then told him I would have the surgery at the hospital where I had gone before and he said I should go to his surgical center because it was nicer and less expensive. I asked if there was a lab on site and he said no but it was no problem that it would be couriered to the hospital during the surgery. My husband waited in the waiting area during the surgery. After several hours a nurse came out and told him the lab was not getting back to them and there was no pathology report so they were going ahead and taking the complete thyroid, which they did. After the surgery recovery I asked the doctor if he left partial thyroid and he said no because there was no path report but he visually could see hasamoto disease and therefore, was right to do so... Then I was sent to the endo physician who gave me the radiation pill and treatment and all of which I now believe was completely without justification. My concern now is I am coming back with a high level on the thyrogl ab screen and do not know how to deal with that. There are much conflicting information about this is the medical reports. Please advise.
Thu, 29 Jan 2015
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Pathologist and Microbiologist 's  Response
hi, Dr.boskey gandhi is here, let me explain that hashimoto thyroiditis is one kind of auto immune disease, in which anti thyro globulin antibodies are high & cause hypothyroidism. in your report anti thyroid abs are high, so you may be suffering with this disease, now u had not mentioned your final biopsy report after last surgery, it is very important & decide your disease.
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What Does This Biopsy Report Indicate?

hi, Dr.boskey gandhi is here, let me explain that hashimoto thyroiditis is one kind of auto immune disease, in which anti thyro globulin antibodies are high & cause hypothyroidism. in your report anti thyroid abs are high, so you may be suffering with this disease, now u had not mentioned your final biopsy report after last surgery, it is very important & decide your disease.