The Inconclusive Biopsies Rabbit Hole

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RE: The Inconclusive Biopsies Rabbit Hole

by AdrianaG on Thu Mar 14, 2019 01:41 PM

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Thank you to everybody who recommended a second opinion at Emory. After an initial misstep (referred to wrong specialty) I was seen yesterday by Dr Amy Chen of Department of Otolaryngology and Head and Neck Surgery at The Emory University School of Medicine. She scoped my throat and did an ultrasound in the exam room. Determined no change since inital ultrasound and biopsies in January. Recommended that rather than proceed directly to surgery we do a ThyroSeq test. While there is no guarantee of a definitve diagnosis, it increases the chance of “specifically designed for thyroid nodules when other clinical tools are unable to say whether your thyroid nodule is benign (non-cancerous) or malignant (cancerous).” If it is benign, we continue to monitor periodically, if cancer we go ahead with surgery. I really like that the surgeon is actually perorming the ultrasound as opposed to my original ENT simply relying on a report from an interventional radiologist. One more thing, Dr Chen disagreed with original recommendation to perform an isthmusectomy because blood supplies are inadequate and the nodule extended well beyond the isthmus into the left lobe. To those in a similar situation, definitely get a second opinion!

RE: The Inconclusive Biopsies Rabbit Hole

by butterfly501 on Fri Mar 15, 2019 07:24 AM

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On Mar 14, 2019 1:41 PM AdrianaG wrote:

Thank you to everybody who recommended a second opinion at Emory. After an initial misstep (referred to wrong specialty) I was seen yesterday by Dr Amy Chen of Department of Otolaryngology and Head and Neck Surgery at The Emory University School of Medicine. She scoped my throat and did an ultrasound in the exam room. Determined no change since inital ultrasound and biopsies in January. Recommended that rather than proceed directly to surgery we do a ThyroSeq test. While there is no guarantee of a definitve diagnosis, it increases the chance of “specifically designed for thyroid nodules when other clinical tools are unable to say whether your thyroid nodule is benign (non-cancerous) or malignant (cancerous).” If it is benign, we continue to monitor periodically, if cancer we go ahead with surgery. I really like that the surgeon is actually perorming the ultrasound as opposed to my original ENT simply relying on a report from an interventional radiologist. One more thing, Dr Chen disagreed with original recommendation to perform an isthmusectomy because blood supplies are inadequate and the nodule extended well beyond the isthmus into the left lobe. To those in a similar situation, definitely get a second opinion!

Sounds like you're comfortable!

....by the by...I will never understand what scoping the throat for the thyroid is ever necessary.  (not meant in a negative way; I really just don't understand the purpose)

Fabulous news for you!  It's always great to feel good about the doctor you've just visited!

RE: The Inconclusive Biopsies Rabbit Hole

by AdrianaG on Fri Mar 15, 2019 08:26 AM

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Re scoping the throat, my first ENT said it was to determine if there was any infringement of vocal chords. In my latest appointment I was able to watch on the monitor, it was pretty awesome to see.

RE: The Inconclusive Biopsies Rabbit Hole

by butterfly501 on Fri Mar 15, 2019 09:00 AM

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On Mar 15, 2019 8:26 AM AdrianaG wrote:

Re scoping the throat, my first ENT said it was to determine if there was any infringement of vocal chords. In my latest appointment I was able to watch on the monitor, it was pretty awesome to see.

I guess when I read "scoping the throat" I figure it's through the mouth, down the esophagus. 

That's fine...I still don't understand the purpose when there is ultrasound; and all that goes with that.

Good wishes to you!

RE: The Inconclusive Biopsies Rabbit Hole

by AdrianaG on Fri Mar 15, 2019 09:43 AM

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Actually it gors through the nose and past the esophagus.

RE: The Inconclusive Biopsies Rabbit Hole

by butterfly501 on Sat Mar 16, 2019 10:03 PM

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I've had that one done for something totally unrelated about a year ago, scopes the trachea down to the vocal chords and checking out the eustachian tube connection.

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