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Medical consultation - thyroid nodule results

Thyroid biopsy results consultation

Behnam ยท 2026-01-07 15:45:03 to 2026-01-07 15:54:17

Review: Pending Review

Summary

A clinician explains to patient Janice the results of a thyroid biopsy and ultrasound findings. The biopsy was taken from a thyroid nodule after a scan for a parotid lesion revealed thyroid nodules. The clinician describes the grading system for nodules and cytology, noting the nodules are radiologically U3 (intermediate). They discuss possible outcomes: benign monitoring, repeat biopsy, or surgery to remove part of the thyroid. They also discuss family history, symptoms like heat intolerance, and the delay in results due to the holidays. The clinician will contact Janice with results and arrange follow-up.

Facts

  • Biopsy done on 16 December
  • Results delayed due to holidays
  • Thyroid nodules are radiologically U3 (intermediate)
  • Two nodules primarily in left thyroid lobe
  • Fine needle aspiration cytology performed
  • Patient has family history of brain tumor (secondary cancer)
  • Patient feels hot all the time
  • No head/neck irradiation
  • Thyroid function test not done, but recent GP blood tests in September were normal

Tasks

  • Clinician to look up results and inform Janice
  • Possible repeat biopsy or scan in 3-6 months
  • Possible referral to surgeon if needed

Issues

  • Anxiety about waiting for results
  • Discrepancy in expected result timing (10-day cancer pathway vs non-cancer pathway)
  • Potential need for thyroid surgery and thyroxine