gt;gt; when a patient is initially seen in the THYROID CENTER, THERE ARE DIFFERENT DISCIPLINES WITHIN CHOP THAT THEY COULD POTENTIALLY BE REFERRED TO. gt;gt; WHAT WE TRY TO DO IN THE PROCESS WHEN THEY COME IN IS GO OVER WHAT’S BEEN DONE, SEE WHAT QUESTIONS THAT THEY HAVE, AND THEN TRY TO EDUCATE THEM ON WHAT THESE.
Things could mean and what the next step is IN THE EVALUATION PROCESS. gt;gt; A PATIENT WITH A THYROID NODULE REQUIRES A DIFFERENT LEVEL OF CARE DEPENDING ON WHETHER OR NOT THE THYROID NODULE HAS CHARACTERISTICS ON ULTRASOUND THAT LOOK LIKE THEY COULD POTENTIALLY BE MALIGNANT.
gt;gt; one of the most important parts of addressing any THYROID NODULE IS TO MAKE SURE THE FAMILY UNDERSTANDS, BY DEFINITION, HAVING A NODULE DOESN’T MEAN THAT THIS IS ABSOLUTELY GOING TO BE MALIGNANT OR IT REQUIRES SURGERY. AND THAT’S PART OF THE REASSURANCE BECAUSE NOT ALL.
Nodules are malignant. AND ACTUALLY, MAJORITY OF NODULES TEND TO BE BENIGN. gt;gt; IF THOSE NODULES ARE SOMETHING TO WORRY ABOUT OR NOT THEN IS A MATTER OF EVALUATION. gt;gt; THE FIRST THING THAT WILL HAPPEN IS THAT A PATIENT WILL HAVE A THYROID ULTRASOUND,.
Which is an ultrasound of the gland itself AND THE REMAINDER OF THE NECK, LOOKING FOR THYROID LYMPH NODES, LOOKING FOR OTHER LESIONS, LOOKING TO SEE HOW BIG THE THYROID IS. AND THAT IS PERFORMED BY OUR BODY IMAGING COLLEAGUES. SO IF THE ULTRASOUND IS DEEMED APPROPRIATE.
For a biopsy then the patient is scheduled FOR AN ULTRASOUNDGUIDED FINE NEEDLE THYROID ASPIRATION BIOPSY. gt;gt; FINE NEEDLE ASPIRATION BIOPSY IS OUR WAY OF DETERMINING IF THE CELLS WITHIN THE THYROID NODULE APPEAR WORRISOME UNDER A MICROSCOPE.
gt;gt; the important thing that we have in place with our INTERVENTIONAL RADIOLOGISTS, WHO ACTUALLY PERFORM THE FINE NEEDLE ASPIRATIONS, IT’S ALL DONE UNDER SEDATION. SO THIS IS VERY CALMING FOR THE FAMILY. gt;gt; THE SEDATION PHYSICIANS ARE ONSITE. THEY MEET THE FAMILY.
They come up with a sedation plan with the family. gt;gt; THE PATIENT HAS THAT EXPECTATION THAT THEY WILL BE ASLEEP THROUGHOUT THE ENTIRE PROCEDURE. WHAT THAT PROCEDURE INVOLVES IS A VERY FINE NEEDLE, OR SMALL BORE NEEDLE, ADVANCED INTO THE LESION OF QUESTION.
How a fine needle aspiration breast biopsy is taken
This animation will show what happens during a fine needle aspiration breast biopsy procedure. the navigation arrows below the animation screen to play, pause, rewind or fastforward the animation. This animation contains sound. A fine needle aspiration is a procedure used to take cell samples from tissue. It’s often used to remove cells from breast tissue. The samples are sent to a laboratory for testing. Here we show an area of breast tissue that.
Needs to be investigated. a fine needle is passed through the skin of your breast into the area being investigated. You may feel a slight sting as the needle is passed into your breast. Breast tissue is drawn out into the syringe. The procedure is quick and a local anaesthetic isn’t usually needed. After the samples are taken the needle is carefully removed and the injection area is covered with a plaster.