FNA or ultrasound monitoring

34 Posts | Page(s): Prev 1 2 3 4  Next 

RE: FNA or ultrasound monitoring

by Swifty on Sat Apr 27, 2019 12:18 PM

Quote | Reply

I don't know where you live butterly501 but waiting for appointments for a long time, when not considered an emergency, is common in many parts of the county (US) 

RE: FNA or ultrasound monitoring

by Shayanne on Sat Apr 27, 2019 02:11 PM

Quote | Reply

On Apr 27, 2019 6:30 AM butterfly501 wrote:

On Apr 26, 2019 10:53 PM Shayanne wrote:

I have a moderately suspicious thyroid nodule that is solid, hypoechoic, and has irregular margins. It has grown from the size .6 x .5 x .5cm to .9 x .9 x 1.0cm in the past year and the volume has increased quite a bit and from what I have read that can make it more likely to be malignant. I also have a stable 1.3cm nodule that is only slightly suspicious (solid, isoechoic). I started having some symptoms about 4 months ago. It feels like there is something in my throat and sometimes I feel pressure going up to my ears.

My endocrinologist said I could have a biopsy on the suspicious nodule or just monitor the nodule with ultrasound. I chose the biopsy and I have an appt in July. I'm starting to rethink my decision. Does anyone have any suggestions on the best option?

You can't have an FNA before JULY? 

Where are you located? 

An FNA is no big deal.

Why a medical physician would EVER advise "wait and see" for an FNA is baffling.

I am in Portland, OR and July 10th is the soonest they can get me in for an FNA. I don't have any other options due to the medical insurance that I have.

I guess they figure thyroid cancer is typically slow growing so waiting for a few months for an FNA is no big deal. From what I have read some recommend an FNA at 1cm for a moderately suspicious nodule and others recommend waiting until it is 1.5cm.

RE: FNA or ultrasound monitoring

by Shayanne on Sat Apr 27, 2019 02:15 PM

Quote | Reply

On Apr 27, 2019 6:34 AM butterfly501 wrote:

On Apr 26, 2019 11:51 PM Shayanne wrote:

Thanks for the reply. I do think more info is better and I want to know what is going on. I think the endocrinologist will be doing the biopsy and also using an ultrasound. Hopefully he knows what he is doing.

You want a radiologist to do an Ultrasound Guided FNA....not an endocrinologist.

My appt is with the endocrinologist and I suppose it is possible that they have a radiologist that does the FNA. I will have to wait and see. Whatever the situation is it is my only option.

RE: FNA or ultrasound monitoring

by ToddlerFather on Sat Apr 27, 2019 10:42 PM

Quote | Reply

All US I did, with or with no FNA, were made by radiologists. The only clinicians I usually see doing US are Ob-Gyns. 

RE: FNA or ultrasound monitoring

by butterfly501 on Sun Apr 28, 2019 11:31 PM

Quote | Reply

On Apr 26, 2019 11:51 PM Shayanne wrote:

Thanks for the reply. I do think more info is better and I want to know what is going on. I think the endocrinologist will be doing the biopsy and also using an ultrasound. Hopefully he knows what he is doing.

How many US guided FNAs does the endo perform each month?  You may want to see radiologist.

RE: FNA or ultrasound monitoring

by butterfly501 on Sun Apr 28, 2019 11:34 PM

Quote | Reply

On Apr 27, 2019 2:11 PM Shayanne wrote:

On Apr 27, 2019 6:30 AM butterfly501 wrote:

On Apr 26, 2019 10:53 PM Shayanne wrote:

I have a moderately suspicious thyroid nodule that is solid, hypoechoic, and has irregular margins. It has grown from the size .6 x .5 x .5cm to .9 x .9 x 1.0cm in the past year and the volume has increased quite a bit and from what I have read that can make it more likely to be malignant. I also have a stable 1.3cm nodule that is only slightly suspicious (solid, isoechoic). I started having some symptoms about 4 months ago. It feels like there is something in my throat and sometimes I feel pressure going up to my ears.

My endocrinologist said I could have a biopsy on the suspicious nodule or just monitor the nodule with ultrasound. I chose the biopsy and I have an appt in July. I'm starting to rethink my decision. Does anyone have any suggestions on the best option?

You can't have an FNA before JULY? 

Where are you located? 

An FNA is no big deal.

Why a medical physician would EVER advise "wait and see" for an FNA is baffling.

I am in Portland, OR and July 10th is the soonest they can get me in for an FNA. I don't have any other options due to the medical insurance that I have.

I guess they figure thyroid cancer is typically slow growing so waiting for a few months for an FNA is no big deal. From what I have read some recommend an FNA at 1cm for a moderately suspicious nodule and others recommend waiting until it is 1.5cm.

I'm in the same area, just across the bridge in Washington.  My FNA was immediate, with the surgeon which we then quickly scheduled an US guided FNA with a radiologist.

Ask for a referall to Vancouver Radiologists.  They do their best to get you in super quick!

RE: FNA or ultrasound monitoring

by Poorman on Thu May 02, 2019 03:55 PM

Quote | Reply
A PET SCAN !!! I would rely on nothing else

RE: FNA or ultrasound monitoring

by Shayanne on Thu May 02, 2019 04:19 PM

Quote | Reply

My only choice is the biopsy with the endocrinologist for now due to my insurance. I found this article that says 1 in 4 thyroid biopsies are now done by endocrinologists. I guess if I'm not happy with the outcome I can change insurance during open enrollment this year.

https://www.mdedge.com/endocrinology/article/136555/pituitar

RE: FNA or ultrasound monitoring

by ToddlerFather on Thu May 02, 2019 04:54 PM

Quote | Reply

On May 02, 2019 4:19 PM Shayanne wrote:

My only choice is the biopsy with the endocrinologist for now due to my insurance. I found this article that says 1 in 4 thyroid biopsies are now done by endocrinologists. I guess if I'm not happy with the outcome I can change insurance during open enrollment this year.

https://www.mdedge.com/endocrinology/article/136555/pituitar y-thyroid-adrenal-disorders/one-four-practitioners-doing-fnas"" target="_blank" rel="nofollow">https://www.mdedge.com/endocrinology/article/136555/pituitar target="_blank" rel="nofollow">https://www.mdedge.com/endocrinology/article/136555/pituitar

The remaining question then is whether it's your endo's first FNA or if he or she is experienced enough for you to feel reasonably comfortable. 

RE: FNA or ultrasound monitoring

by Shayanne on Thu May 02, 2019 05:24 PM

Quote | Reply

I have read some reviews for the doctor and they are pretty good. Several people writing the reviews say that they had a thyroid biopsy so I think he does them all the time.

34 Posts | Page(s): Prev 1 2 3 4  Next 
Subscribe to this message board discussion

Latest Messages

View More

We care about your feedback. Let us know how we can improve your CancerCompass experience.