Pathology: A Career in Medicine
Pathology: A Career in Medicine
The Pathologist in Patient Care
Anatomic Pathology
A Case Study: Lung Cancer
Role of the Autopsy
Clinical Pathology
Molecular Pathology
The Pathologist as a Consultant
The Pathologist in Research
Case Study: Thyroid Cancer
Graduate Medical Education in Pathology
Career Options
The Pathologist as a Teacher
Undergraduate Study in Pathology
About ICPI
The Directory of Pathology Training Programs
The Road to Becoming a Biomedical Physician Scientist in Pathology and Laboratory Medicine
Certification in the US and Canada
Pathology: A Career in Medicine Brochure - Ordering Information


Intersociety Council for
Pathology Information (ICPI)

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Council for Pathology Information
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Case Study: Thyroid Cancer

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.


A pathologist and resident immediately analyze the cells microscopically while the patient is still in the examining room.