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Thyroid (Expert Forum)
Highly suspicious vs. suspicious as indicator of malignancy in thyroid
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
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Highly suspicious vs. suspicious as indicator of malignancy in thyroid
by SharpShiv, May 27, 2007 12:00AM
Is the term Highly Suspicious just another way of saying it's malignant? (This is what a friend told me. He said pathologists just don't like to say definitely.
I say, why would they have a classification of malignant, if no one is going to use it?
In my FNA three nodules were analyzed. One showed Highly Suspicious" for Papillary Carcinoma, One suggestive of papillary lesion, and one they said was some kind of thyroiditis (I forget the exact sepcific name, but I looked it up and it's the Hashimoto's thing.).
I don't want to have surgery if I don't have to. I'm having a second patholigical opinion on the slide,but wondered why they used the term "highly" vs. just suspicious, and if there is any data correlating highly to definitive upon post-operative pathology?
I say, why would they have a classification of malignant, if no one is going to use it?
In my FNA three nodules were analyzed. One showed Highly Suspicious" for Papillary Carcinoma, One suggestive of papillary lesion, and one they said was some kind of thyroiditis (I forget the exact sepcific name, but I looked it up and it's the Hashimoto's thing.).
I don't want to have surgery if I don't have to. I'm having a second patholigical opinion on the slide,but wondered why they used the term "highly" vs. just suspicious, and if there is any data correlating highly to definitive upon post-operative pathology?
Doctor's Answer
by Mark Lupo, M.D., May 28, 2007 12:00AM
, May 28, 2007 12:00AM
No, 'suspicious for' is not supposed to be used in that way. With my pathologist, 'suspicious' means 70% cancer. We don't use 'highly suspicious', so this may be a pathologist that does not see enough thyroid to be definite. Glad you are getting the second opinion, but if that comes back 'suspicious' or 'malignant' would go for a total thyroidectomy.
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I had a TT for Graves/Hashi's and have no regrets. Stabilization on replacement meds is a fairly easy thinng to do once the thyroid is removed.
C~