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Picked up my operative and pathology reports from my surgery today. Can anyone help put in laymans terms?

JC_hama
Posts: 14
Joined: Dec 2010

Well, I dont know if perhaps I should have left this paperwork alone but I really wanted to see if there were things I was not being told. I was told that I had papillary carcinoma and that it had not spread anyhwere. Turns out that I have follicular varient of papillary carcinoma and if I understand what I am reading it had extended through the capsule into the thyroid tissue but not into any lymphnodes. Here is the exact wording:

Focal extension through fibrous capsule is identified. Negative for vascular invasion. Peripheral margins are negative.

Can any one put that in laymans terms for me? I am scheduled to meet with my radiation oncologist on January 5th and I just want to know what I am facing so I know what questions to ask. Thanks!

Cathy

sunnyaz
Posts: 582
Joined: Oct 2010

Hi Cathy,

I am not a doctor as I have said, however I am in the Medical field and have somewhat of an extended medical vocabulary. Don't hold me responsible if I am wrong but I am going to give it my best shot.

The interpreting pathologist (looking at your tumor in the lab) can visually see that fibrous tissue was coming out of the tumor. I.e. The tumor was not encapsulated. It did not invade any blood vessels therefore it probably did not spread to your bloodstream. Peripheral margins; I believe means that there is no evidence of cancer extending past the area that they removed (clear margins). I.e. they got all the cancer without leaving any cancerous edges inside you which could cause recurrence. There doesn't seem to be mention of Lymph node metastasis from what you have said, so I am guessing they didn't remove lymph's because they didn't look suspicious.

I hope this helps.

Julie-SunnyAZ

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HeartofSoul
Posts: 733
Joined: Dec 2009

I have question fo