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Endo biopsy inconclusive11/23/2023 My thyroid blood work has always come back normal, but I believe I have had symptoms for quite some time. I think that scares me more than the surgery itself. I've had 2 inconclusive biopsies (1 biopsy had inconclusive sample, one was Bethsida III), so this surgery will determine if it is cancerous or not. I've got a 5.1cm nodule on my left thyroid. Wondering if I have any surgery buddies for my upcoming Partial Thyriodectomy? Surgery is scheduled for 20th March.Ī bit of background on me. He wants to biopsy the lesion to find out for sure, so that's what I'm waiting for now. I went to an oncologist for the first time because of this. Has anybody heard of or had a papillary metastases when the original tumors were that small? In such a short time? Lots of things can cause a lytic lesion - many of which are not cancer.Ī metastases in my case just doesn't make sense to me. This is not the way papillary behaves as I understand it.Ĥ. So if the lytic lesion is papillary metastases, it would have had to go from nothing to 1cm in three months. The WBS in Oct 2010 showed no uptake in the abdomen. Why would it be benign up there, but malignant on the pelvis?ģ. All the stuff they took out of my neck the second time around was benign. Papillary is supposed to be not aggressive, and doesn't metastasize until the original tumors are over 1cm (or maybe 2cm, I can't remember for sure). Of course the FAA isn't going to let me fly during any of this.ġ. His approach is to let the RAI do it's thing, wait until October and rescan it to see if it's dead yet. So the endo's diagnosis is metastatic papillary thyroid cancer. The CT shows a 1cm lytic lesion on the right illiac crest of the pelvis, in the same area that showed uptake on the WBS. So the endo sends me for a CT scan to see if a tumor is really there. I hear nothing from anybody until my next follow-up with the endo on 21 March (this irked me to no end), whence he tells me that the radiologist reading the RAI classified it as "evidence of metastatic disease". Thinking it might just be radioactive poop that was still working it's way out, they had me come back two days later and shoot it again. Post RAI WBS shows uptake in the lower right quadrant of my abdomen. Since the endo was pushing for RAI now (and I depend on him to convince the FAA to let me go back to work), I did RAI early Feb 2011. ![]() Path report says all of it was benign - no evidence of metastases. ![]() Remove the left nodule (she couldn't even see the one on the right side) and two swollen lymph nodes. FNA biopsy is inconclusive but "suspicious for malignancy" on the left one.īack to surgeon on. Oct 2010 thyroglobulin antibodies still high, so we do US and RAI (whole body). RAI not done at that time because small tumor size and no involvement of lymph nodes. TT was done Jan 2010 and two micro-tumors (0.5cm and 0.4cm) of papillary were found. I'm not convinced, and I don't think the oncologist is either. My endo thinks my cancer has metastasized to my pelvic bone.
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