Thyroid nodule and Cancer surgical Pathology Reports: What Good Ones Should Include and When They May Have the Wrong Diagnosis.
Dr.Guttler’s comments: Over 40 years treating patients with thyroid cancer and nodules I have encountered many “bad” cytology and surgical path reports. Reporting suspicious FNA findings resulting in unnecessary thyroid surgery. Rescue of a case with “bad” cytology report with a patient request for a second opinion BEFORE the surgery.
A “bad” surgical path report caused the patient to be treated for 12 years for the wrong thyroid cancer ( papillary instead of medullary) causing her death, Another case asked for a second opinion before the treatment for papillary when a second opinion proved she had medullary cancer and was treated correctly.
Here are the pearls for dealing with cytology and other pathology reports/pathology reports.
It is important to make sure your disease has been diagnosed accurately to ensure that the treatment options offered are right for the specific disease.
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