Second, this nodule has been stable and has not grown from the first day it was discovered. -5.5cm x 3.9cm x 3.9cm Left Thyroid Nodule: Large mixed/mostly solid, isoechoic, ill-defined margins, macrocalcifications, taller-than-wide: TI-RADS 5 The good news is that if your insurance refuses to pay for the test, then you will only have to pay 300.00 out of pocket. I also recently found *another* article written by an endocrine surgeon Sam Wiseman from the Department of Surgery ,St.Paul's Hospital University Of British Columbia for the site Gland Surgery where he also points out real concerns that half of patients(as I said I know it's more,from all of the people I have found posting on thyroid boards) with benign nodules wrongly classified as "suspicious" by the Afirma test are getting unnecessary thyroid surgery because this Afirma result influenced a lot of endocrinologists and their patients to have the thyroid surgery! See Somatic Mutation Testing - Solid Tumors guideline for criteria. Of the 343 nodules that underwent the GEC test, 178 cases (51.9%) were considered suspicious for cancer. PDF AFIRMA REQ: Sample Patient Report This isn't saying that Afirma's test isn't useful. A total of 27 patients with GEC benign nodules had surgery for nodule growth or patient preference and 3 had a papillary thyroid microcarcinoma discovered at final pathology while the rest were benign. 2017;45:308-311. I really hope that a much better,much more accurate reliable test like this will be created! Genes hold the information to build and maintain an organisms cells and pass genetic traits to offspring. Current analysis of thyroid biopsy results cannot differentiate between follicular or hurthle cell cancer from noncancerous adenomas. Recommended surgery for suspicious cancer cells. I scheduled the surgery for June 3rd but now I'm apprehensive because I don't want to have surgery if there's a chance of this to be benign. Independent Comparison of the Afirma Genomic Sequencing - PubMed The remaining 18% were malignant. Like I said I'm doing ok and compared to what I see about the aftermath of having my thyroid removed, I sometimes just want to leave it alone and keep an eye on it instead. There are four types of FVPTV: encapsulated with invasion, encapsulated without invasion, unencapsulated non-invasive and unencapsulated and invasive into the surrounding parenchyma of the gland. Conclusion: Thyroid bloodwork normal. This was done in hopes of maintaining my own thryoid function which the doctors and I felt better than taking thyroid medicine daily for the rest of my life. She says very little, and if she does say anything, questions my reactions. Next-Generation Molecular Tests for Thyroid Nodules: Which to Use
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