Thyroid Disease Forum banner

Wait time between biopsies?

3042 Views 2 Replies 2 Participants Last post by  Ulfilas
Hello everyone! I am new to this board. I appreciate having the opportunity to join this community.

I am male, 46, generally in very good health. I have a single nodule, left lobe, coincidentally discovered during a carotid ultrasound scan (checking for heart disease--happy to report my cardiovascular system is in tip-top shape at least). I had another ultrasound of the complete thyroid a week after the carotid scan. It came back as this: "A single hypoechoic solid nodule with peripheral and possible internal microcalcifications is identified in the mid left lobe measuring .9 x 1.1 x .9 cm." My blood work came back with normal levels of thyroid-related hormones (e.g. T4, THS, TPO normal, though slightly elevated normetanephrine--I know that's not thyroid specific but getting that checked too).

I had FNA biopsy a week and a half ago, but it was unsatisfactory, so I am getting another, but I have to wait 6-8 weeks. My first question is, why the wait? Why can't it just be done a week or 2 later?

Next question, from what I have read (e.g., Dr Jill Langer, Univ of Pennsylvania ), microcalcifications + hyperechoic = 96% Specificity for cancer. I am curious as to your thoughts on this. I hate the thought of waiting 2 months if it seems so likely to be cancer. Is there really a good reason for such a long wait? The next FNA is going to be done by a radiological expert (my endocrinologist did the original one with ultrasound guidance), and they will supposedly have a pathologist on hand to immediately check results.

Thanks in advance for your thoughts and support!
1 - 1 of 3 Posts
By unsatisfactory, do you mean the results were inconclusive or that they were not able to collect sufficient cells to make a determination?

While your nodule is suspicious and merits further evaluation, it is also just barely big enough to meet the size criteria for biopsy. So, the doctors may want to give it a month or two to see if it grows a bit and would make the biopsy more effective (not to mention easier!). Or, it could just be a scheduling often takes six to eight weeks to get into a specialist.

Yes, a single, hypoechoic nodule with calcifications are worrisome, but I hadn't heard the 96% stat. Remember that thyroid cancer is usually quite slow growing (my surgeon told me he thought my cancerous nodules were probably growing for ten years), so while, yes, you want treatment, there's usually less of a rush than with other cancers. That said, they usually treat men a bit more aggressively than women, so definitely get that second FNA!
1 - 1 of 3 Posts
This is an older thread, you may not receive a response, and could be reviving an old thread. Please consider creating a new thread.