Why You Need Expert Second Opinion Before You Have Have Surgery for a Follicular Variant of Papillary Carcinoma. It may not be a cancer after all.

Why You Need Expert Second Opinion Before You Have Have Surgery for a Follicular Variant of Papillary Carcinoma. It may not be a cancer after all.

Why You Need Expert Second Opinion Before You Have Have Surgery for a Follicular Variant of Papillary Carcinoma. It may not be a cancer after all.

Baloch ZW et al

Endocrine Practice 23(9) September 2017 1153-58

Images from the article.

Comments about this article by Dr.Guttler

 

A The first cartoon on the left is a benign follicular adenoma.

It  is encapsulated and has no invasion.

B The right cartoon has a follicular carcinoma with capsule invasion (red arrow) and blood vessel invasion ( black arrow).

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C. The Non invasive follicular neoplasm with papillary nuclei called NIFT-P.

D. Follicular Variant of papillary carcinoma with capsule (red arrow and Blood vessel invasion ( black).

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A. Thin capsule of NIFT-P

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B. Cytology will have papillary carcinoma like nuclei.

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C. NIFT-P has papillary carcinoma like nuclei

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  1. 5% of cancer are now downgraded to benign as NIFT-P. That is about 5,000 cases a year.
  2. NIFT-P patients with new MicroRNA studies may even be treated with the lobectomy in the near future.Until then a simple lobectomy will allow the diagnosis to be made.
  3. imgres-8
  4. NIFT-P patient do not need radioiodine or long term cancer follow up.
  5. images
  6. This will decrease the incidence of bankruptcy common in thyroid cancer patients.
  7. To be re-classified you need an outside opinion.The surgical block from your surgery must be found and examined by expert pathologists.
  8. Call Matt at 310-393-8860 or email thyroid.manager@protonmail.com for details on obtaining a review of your case either before surgery or retrospective evaluation.
  9. You may be one of the 5,000 overdosed as cancer every year.
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