Thyroid biopsy - odd result?

Hi all 

 

I found a lump in my neck nearly a year ago and docs said it was a swollen gland. Fast forward to July, lump still there and went to docs again. New doc sent me for a blood test (all normal) and an ultrasound, which showed a large nodule on the right side of my thyroid. No other symptoms at the time and I was sent for a biopsy 10 days ago. Four days later the results were back, and I got a letter on Saturday saying I’d be sent for a repeat biopsy on the 17th. 

 

I spoke to my consultant today as I didn’t understand why (at this point I didn’t know the results were back already) and he said “there’s no need to be concerned but the cells show a slight abnormality which can happen if the slide of cells dries too fast, gets crushed on the way to testing, didn’t get enough cells.”  He kept repeating nothing to worry about but need a repeat biopsy 

 

surely if nothing to be concerned about the cells wouldn’t be abnormal? And he could say they’re benign? If this is cancer it’s cancer and I’ll deal with it but the not knowing is so much harder!

 

has anyone come across this? What was the outcome? Xx thanks

  • Hello and thank you for posting a question. I am sorry to learn that you need to have another biopsy. I can appreciate that this must be concerning for you.

    Firstly as I do not know the full details of your situation it is difficult for me to say what is happening in your individual case, but the following general information may be of some use.

    Occasionally when a biopsy is taken there is not enough material to make a firm diagnosis and then a further biopsy may be needed. So this may have been what happened in your individual case.

     But even when there is enough tissue the sample is not always conclusive. This is because a thyroid biopsy sample is graded from 1 to 5 by the pathologist. With I being inadequate  (not enough tissue to make a diagnosis), 2 not cancer, 3, some abnormal cells but unlikely to be cancer, 4, suggestive of cancer and 5 cancerous. So when a sample comes in as 3 further tests may be needed to be sure about what is the matter. But most 3 samples turn out to be fine.

    I can appreciate that being told that you have abnormal cells may be alarming, but even benign (non cancerous) tumours are made up of abnormal cells.  So if  abnormal cells were seen in your sample this does not always mean cancer. This is particularly the case when the cells are only slightly abnormal as cancer cells are usually very abnormal. As your specialist said that this is nothing to worry about  I suspect that a few abnormal cells were seen, but they probably are not cancerous. But to be on the safe side the test is being repeated as your first sample was not so good..

    I can appreciate that it may not be easy to talk with the specialist again, but they are best placed to explain things to you. Their secretary may be able to arrange for you to speak to again.

    Until you have the results of the next biopsy I would imagine that it is a bit of a worry, but  from what you have told me I do not get the impression that you need to be overly concerned.

    Please get back to us if you think it might help.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    All the best,

    Jean