Ultrasound-Guided Thyroid Biopsy in Denver

We recommend not taking blood thinners such as Aspirin or Motrin as they can increase bruising. On the day of the thyroid biopsy, we clean the neck with a sterile, antiseptic solution called Hibiclens. Please let us know if you have any allergies to topical solutions or medication. Hibiclens is pink, and people rarely have an allergy to pink dyes. We don’t typically use betadine because allergies are more common with that. The radiologist may use a small amount of lidocaine to anesthetize the skin to minimize discomfort from the procedure. Most people feel a slight pinching sensation and possibly pressure from the biopsy, but experiencing pain is uncommon.

- The technologist uses an ultrasound transducer or probe to localize the thyroid nodule. - The radiologist will then use a fine needle (smaller than you have probably seen before) to take the sample. The procedure is sometimes called a Fine Needle Aspiration (FNA) or a Fine Needle Biopsy (FNB). The radiologist directs the fine needle under ultrasound guidance to the nodule. - Using ultrasound guidance, the radiologist performs several passes with the fine needle to gather cells for further analysis. The radiologist will watch the entire procedure in real-time as they are performing the procedure, which ensures that the targeting and sampling are precise. - We prepare the cells on slides in preservative solutions for additional evaluation by the pathologist. We place a small amount of the sample in an extra collection tune in case the pathologist needs to perform additional testing. The pathologist or cytologist is a medical specialist who studies the structure and function of cells and analyzes the cells. Cytologists look at the cells under the microscope to determine if they are normal (benign), atypical, or look suspicious. Sometimes, the specialist needs more information. The specialist will test the extra cells tube for the cells' genetic makeup. This secondary process is slower and may take seven to ten days to return.

We recommend not taking blood thinners such as Aspirin or Motrin as they can increase bruising. We will provide you with Tylenol and a small portable ice pack to apply to the fine needle aspiration/biopsy site if needed. Complications from a Fine Needle Aspiration/ Biopsy of the Thyroid are rare. If you experience any bleeding, increased swelling, or sudden change of voice, please call us or seek medical attention. The results of the Fine Needle Aspiration Biopsy of the Thyroid are usually available within two working days. The results may take longer in some cases if the pathologist needs more time for testing. The time required to complete the evaluation is unrelated to the final result. We allow the time necessary for the pathologist to make an accurate diagnosis. The results usually return as benign (normal). Sometimes the findings return as suspicious for malignancy (cancer). Occasionally, the thyroid biopsy results may be atypical. If the results prove to be atypical or malignant, then your doctor will advise a consultation with a specialist in thyroid surgery. The surgeon may recommend removing part of the thyroid gland or observation. We request a thyroid ultrasound follow-up within six months from the procedure date. The follow-up ensures the stability of the finding that we biopsied, even for a benign result. Your care team at The Women’s Imaging Center ensures the continuity of screening to diagnosis to treatment when indicated. The care team and navigator coordinate your care with other specialists based on the recommendation of your referring clinician and within the continuity of care following the National Comprehensive Cancer Network (NCCN) guidelines.