
The attending pathologist
and resident examine the patient and, under the pathologist's guidance, a
resident obtains
the specimen.
|
A 35-year-old woman felt a lump in her neck.
Her surgeon found the lump to be located in her thyroid gland. When she was
given a tracer dose of radioactive iodine, none of it appeared in the lump -
called a "cold" nodule. The referring physician asked the pathologist to do
a fine-needle aspiration - "FNA" to determine whether the lump was
malignant. They demonstrate the diagnosis at the tumor board meeting and
discuss prognosis and cancer management with the surgeons, oncologists,
social workers, nurses, and radiation oncologists present. At surgery, the
mass was removed and no spread of the tumor was found. The early diagnosis
afforded by FNA helps achieve an excellent prognosis in thyroid cancers.

The fine needle aspirate
of the patient
reveals a papillary carcinoma of the
thyroid which often affects young
women. |