Fact Sheets Interventional Radiology. An FNA involves inserting a thin needle into the tissue that requires sampling and then applying suction to the needle tip whilst also turning the tip.
This removes small fragments of tissue that can then be analysed. The advantage of an FNA is that it is slightly less invasive than a biopsy, however, as the tissue sampled is small, it is possible that the specimen obtained is not sufficient for a confident diagnosis to be made. Since a core of solid tissue is removed unlike the FNA where fragmented cells are withdrawn , the specimen is excellent and typically is sufficient enough so that a confident and definitive diagnosis is made.
It is essential that Melbourne Radiology Clinic knows in advance of any blood thinning or anticoagulant medication. As these medications constantly evolve with advances in medicine, the times to cease these medications may vary with newer medications.
Should you be on different medications than those listed, please contact us or the doctor who prescribed the medication for further advice. We ask that you bring a responsible person to drive you home afterwards. If you have had a heart valve replacement, it may be necessary to take antibiotics before the procedure. If you have any other queries relating to your particular condition and intended procedure, please call Melbourne Radiology Clinic to discuss further. An FNA or biopsy is a safe procedure that will require the injection of local anaesthetic to numb the relevant area.
Depending on the body tissue to be sampled, a CT Computed Tomography scanner or ultrasound machine is used to guide the radiologist a specialist doctor in locating the exact tissue requiring study. The procedure is conducted in a lying position and often more than one sample may be taken. Intravenous sedation or pain relief is usually not required as local anaesthesia is in most instances sufficient.
It won't change what you are planning on doing--you are already planning surgery. Sometimes the genetic testing will indicate surgery is necessary. For example, if you have a small thyroid nodule that is less than 1. In this case, the genetic testing changed the plan from "monitoring" to surgery. From an opposite standpoint, if you are above 5o years of age and have a 4cm thyroid nodule that has abnormal vascularity and the FNA biopsy of the nodule is "atypical cells of undetermined significance" ACUS then genetic testing may not be necessary because surgery would already be recommended for multiple reasons including ultrasound appearance, the large size of the nodule, and your age.
Genetic testing of this thyroid nodule would only be beneficial in this circumstance if the surgeon and patient would propose a total thyroidectomy based upon this additional information instead of just a thyroid lobectomy.
There are three commercially available genetic testing companies for thyroid nodules: Veracyte Afirma , Asuragen, and Thyroseq. They are similar, but each has some unique advantages. Typically your doctor will send your FNA biopsy specimen to just one of these three.
Here are some specifics about the genetic thyroid tests:. If your FNA biopsy doesn't give you a good, reliable answer, if it cannot tell the difference between a benign thyroid nodule and a thyroid cancer , you might need to take more invasive steps and even a biopsy during surgery to get a better sampling of cells from the thyroid nodule so the pathologist has more cells to examine under the microscope.
If the doctor has reason to think the nodule is suspicious or worrisome for a thyroid cancer based upon the nodule size, symptoms, or ultrasound appearance, the preferred biopsy is to not stick needles in it again, but instead to REMOVE that entire half of the thyroid called a thyroid lobectomy.
The entire thyroid nodule will come out with the half of the thyroid the thyroid "lobe" that it is growing in. A thyroid lobectomy can also be the main treatment for many patients with a diagnosis of thyroid nodules as well as many thyroid cancers. Said differently, sometimes removing half of the thyroid thyroid lobectomy will be all the surgery a patient needs and the cancer can be cured during this one operation.
We have several videos discussing the pros and cons of removing half of the thyroid for thyroid cancer. There are many patients that can be cured of thyroid cancer just by removing half of the thyroid. We know there is a lot of information on the site and it can be hard to take it all in.
If you have a question for our surgeons, or for our office, we would be happy to help. Let us know your question s and we will forward it to our surgeons or to our office, and get back to you as soon as we can. Corona Virus Update: Saturday November 13, We are seeing patients and operating at full capacity.
In Tampa, the trends of infections and hospitalizations continue to decrease and become more and more favorable and we continue to take every precaution possible. We screen every patient for the virus and since we only perform thyroid operations, all of our patients are either out-patient or a minimal stay in an isolated non-Covid 19 unit in the hospital.
All our surgeons and nurses have been vaccinated. We take very special measures to protect our patients from the general population of our hospital and continue to make this the safest place in the US to have your operation. FAA regulations for air quality are more stringent than even the operating rooms which we work.
We are caring for patients from around the world. Traveling on airplanes is safe and continue to wear your masks on airplanes and throughout your exposure to any other individuals. Our hotels are ready for you and VERY clean. Updates will be posted here as needed but we are open to serve you very safely. We have a new home! This is part of our tremendous growth plans which include a partnership with Hospital Corporation of American to build a new hospital in Tampa, The Hospital for Endocrine Surgery.
Until the new hospital is finished, our world-famous Center continues to flourish in brand-new state of the art facilities at the Medical Center of Trinity dedicated to the care of our thyroid patients. Our great team of doctors, nurses, ultrasonographers, and techs have made the move with us to continue the exceptional care we provide our patients from around the world. We have also added scarless robotic thyroid surgery as an option for some patients.
We look forward to taking great care of you in our new home. Accredited with an A rating by the Better Business Bureau. This is a common test performed thousands of times per day on people with thyroid nodules. FNA is a type of biopsy.
A biopsy is the removal of some cells from the body so they can be looked at under a microscope to see if the cells are cancerous. The healthcare provider who sent you for your FNA will call you when your results are ready. They may tell you your results over the phone or ask you to come in for an appointment.
The address is:. You can reach them Monday through Friday, between am and pm at Your feedback will help us improve the information we provide to patients and caregivers. We read every comment, but we're not able to respond. If you have questions about your care, contact your healthcare provider.
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