Cytopathology

The ability of pathologists to render an accurate diagnosis on a thyroid nodule FNA biopsy is variable. Always seek a second opinion. It can safe you an unnecessary surgery, and alter the surgery plan.

All cytopathology interpretations are performed on site by Dr. Guttler. Rapid turnaround means less stress and worry while you wait for the report to come back from the lab.

Cytopathology Reports:

• Fine needle biopsy
• F.N.A.
• Cyst therapy
• Cytopathology interpretation
• Second opinion on your prior biopsy or surgery.

This is a massive group of Calcified Bodies in the shape of a
dolphin in Papillary Thyroid Cancer
(Photo courtesy of Jane Puslow and Dr.Sudha Kini)

Click here to see my Cytology Poster presented at American Association of Clinical Endocrinologists National Meeting Boston 2010.

Papillary Thyroid Cancer and Results of ultrasound guided lymph node biopsy with washout tests for thyroglobulin

Slides courtesy of John Abele MD
It shows the 3 forms of cytology with papillary thyoid cancers.
Solid usually the cytology is positive
Partially Cystic may show metaplastic cells, and positive TG washout
Purely Cystic no cancer cells, but TG washout positive

TG washout studies with a negative cutoff at 1 ng/ml.
Snozek et al JCEM 2007 Nov 92(11) 4278-81

Similar washout studies can be done for medullary thyroid cancer, calcitonin, Lymphoma, flow cytometry, and Parathyroid hormone PTH. A parathyroid gland can look like a cancer node and PTH washout can prevent removal or ablation with Ethanol.

Expert consultations on difficult case by:
Outpatient Pathology Associates (OPA),
Pathologists:

John Abele M.D.
Anthony Mathios M.D.
Daniel Egerter M.D.

Outpatient Pathology Associates
3301 C Street, Suite 103C
Sacramento, CA 95816

Phone: 916-444-0889
Fax: 916-444-6016