thyroid
head & neck
ear, nose & throat (ENT)
C mmitment
BI PSY
to
Nose/nasopharyngeal
cancer diagnosis
Thyroid cancer diagnosis
What is the significance of the above picture ?
Why a biopsy at all ?
Not all biopsies are the same. Why ?
Image or ultrasound-guided biopsies - what are the advantages ?
Different organs for biopsy - real case scenarios Medical screening : Yes or No ? and many other info…..
Why is biopsy so important ?
For a patient that shows up with an ‘abnormal’ swelling, the usual workflow will be as such:
Biopsy
of
the
swelling
refers
to
the
sampling
of
the
contents
of
the
swelling
to
understand
the
nature
of
the
swelling.
In
all
cases,
it
is
most
important to differentiate if it is a cancer or not.
So a biopsy has to be as accurate as possible to ensure that the results reflects the true nature of the swelling.
Biopsy makes the difference between black n white sometimes let the gray shades show up too. Please see the diagram below
Meaning to say It separates the cancer from the noncancer ones,
It makes a difference in your pulse rate, anxiety level or whether you can sleep well at night !
Hence
accurate n precisional biopsies
are important as it drastically changes the course and mode of treatment
Of course diagnosis of cancer is a
life-changing event
too!
It may also mean more aggressive and extensive treatment in the form of surgery, radiotherapy, chemotherapy and/or immunotherapy.
If
nothing
cancerous,
you
would
have
the
luxury
of
time
and
may
even
go
around
the
world
first
before
deciding
on
the
next
course
of
action
for
your
treatment.
If something intermediate, you would know you need to watch and survey closely. You may need to return to your specialist's clinic in due time.
What is the relevance of that picture on the main page ?
That
is
the
double
helix
structure
of
our
genetic
building
block,
the
Deoxyribose
Nucleic
Acid
(DNA).
(The
guys,
scientists
Francis
Crick
and
James
Watson
who
discovered
it
won
a
Nobel
prize as it revolutionize the medical world's understanding of diseases)
A
single
error
on
the
DNA
chain,
just
like
the
highlighted
red
dot,
may
it
be
a
mutated
gene,
wrongly
placed
ones
would
mean
major
disease
on
that
person/human
body,
either
a
deformed
body
or
malfuctioning
organ.
Think
radioactive
exposure
that
messes
with
a
baby's
gene
in
a
mother's womb and subsequently born without eye or hand !
Hence
this
reflects
on
our
daily
practice
of
getting
a
biopsy
as
precise
as
possible
as
we
understand
it
can
be
a
life-changing
event.
Or
conversely,
a
great
reassurance
on
the
patient's
part if all is well.
What is the specialist's commitment here ?
We
endeavour
to
utilise
our
clinical
knowledge
and
experience
to
under
your
symptoms
and
disease progression, to assess your risk for any unwanted (ie cancerous) development.
This
will
be
coupled
with
modern
medical
equipments
like
the
in-clinic
ultrasound,
endoscopes
as
a
minimally
invasive
access
approach
to
sample
cells
from
the
mass,
tumours
or
swellings
in
the
organ
of
questions,
be
it
the
thyroid
gland,
salivary
gland,
mouth
or
nasal
cavities
etc.
Occasionally
other
modalities
like
CT
or
MRI
scans
are
needed
depending
on
the
condition
of
the patient.
The
surgeon
is
committed
to
obtain
the
most
acccurate
sample
that
will
reflect
the
ongoing
disease process to verify your diagnosis.
Talks about NECK SWELLING on 2/1/15
(for educational purposes, in BM, copyright TV9)
Talks about THYROID on 6/12/16
(for educational purposes, in BM, copyright TV3)
Continue to Part 2
The
sample(s)
will
be
processed
by
the
sampling
surgeon
before
sending
the
samples
to
the
laboratories
to
be
expertly
interpreted
by
the
pathologist
(a
specialist
who
diagnose
disease
through
microscopic
studies
of
the cells).
The
surgeon
will
work
closely
with
the
pathologist
in
the
event
of
any
discrepancies.
Sometimes
more
tests
may
be
needed
based
on
the
expert
advice
of
the
pathologist
to diagnose even rarer conditions.
Talks about NASOPHARYGEAL CANCER on 27/7/17
(for educational purposes, in BM, copyright TV3)
The pathologist at work at the microscope
DISORDERED ARRANGEMENT of the
CANCEROUS PART
ORDERLY
ARRANGEMENT of the
NON-CANCEROUS
PART
photo credit : http://www.pathologyoutlines.com/topic/nasalnonkeratinizingundiff.html
DOWNLOAD OUR
CONTACT DETAILS:
ENTdrvincenttan@gmail.com
+603-3377 7864
+6012-3760 728
Vincent Ear, Nose, Throat, Head and Neck Surgery
Specialist Clinic, Clinic Suite 210, Level 2,
KPJ Klang Specialist Hospital
No.102, Persiaran Rajawali/KU 1,
Bandar Baru Klang,
41150 Klang,
Selangor
Mon-Fri: 930am-5pm
Sat: 9am-1230pm
vincentENTHNS
3.062578,101.46332
(Google Maps, Waze: KPJ Klang, Vincent ENT)
CONTACT US
CLINIC HOURS:
Vincent ENT Clinic
vincententhns
Ear, Nose and Throat (ENT), Thyroid, Head and Neck Surgery
Specialist Clinic
Committed to YOUR Well-being
Copyright Dr.Vincent Tan 2020
thyroid
head & neck
ear, nose & throat (ENT)
C mmitment
BI PSY
to
What is the significance of the above picture ?
Why a biopsy at all ?
Not all biopsies are the same. Why ?
Image or ultrasound-guided biopsies - what are the advantages ?
Different organs for biopsy and many other info…..
Nose/nasopharyngeal
cancer diagnosis
Thyroid cancer diagnosis
Why is biopsy so important ?
For
a
patient
that
shows
up
with
an
‘abnormal’
swelling,
the
usual
workflow will be as such:
Biopsy
of
the
swelling
refers
to
the
sampling
of
the
contents
of
the
swelling
to
understand
the
nature
of
the
swelling.
In
all
cases,
it
is
most important to differentiate if it is a cancer or not.
So
a
biopsy
has
to
be
as
accurate
as
possible
to
ensure
that
the
results reflects the true nature of the swelling.
Biopsy
makes
the
difference
between
black
n
white
sometimes
let
the gray shades show up too. Please see the diagram below
Meaning to say It separates the cancer from the noncancer ones,
It
makes
a
difference
in
your
pulse
rate,
anxiety
level
or
whether
you can sleep well at night !
Hence
accurate
n
precisional
biopsies
are
important
as
it
drastically changes the course and mode of treatment
Of course diagnosis of cancer is a life-changing event too!
It may also mean more aggressive and extensive treatment in the
form of surgery, radiotherapy, chemotherapy and/or
immunotherapy.
If
nothing
cancerous,
you
would
have
the
luxury
of
time
and
may
even
go
around
the
world
first
before
deciding
on
the
next
course
of action for your treatment.
If
something
intermediate,
you
would
know
you
need
to
watch
and
survey
closely.
You
may
need
to
return
to
your
specialist's
clinic in due time.
What is the relevance of that picture on the main page ?
That
is
the
double
helix
structure
of
our
genetic
building
block,
the
Deoxyribose
Nucleic
Acid
(DNA).
(The
guys,
scientists
Francis
Crick
and
James
Watson
who
discovered
it
won
a
Nobel
prize
as
it
revolutionize the medical world's understanding of diseases)
A
single
error
on
the
DNA
chain,
just
like
the
highlighted
red
dot,
may
it
be
a
mutated
gene,
wrongly
placed
ones
would
mean
major
disease
on
that
person/human
body,
either
a
deformed
body
or
malfuctioning
organ.
Think
radioactive
exposure
that
messes
with
a
baby's
gene
in
a
mother's
womb
and
subsequently
born
without
eye
or hand !
Hence
this
reflects
on
our
daily
practice
of
getting
a
biopsy
as
precise
as
possible
as
we
understand
it
can
be
a
life-changing
event.
Or
conversely, a great reassurance on the patient's part if all is well.
What is the specialist's commitment here ?
We
endeavour
to
utilise
our
clinical
knowledge
and
experience
to
under
your
symptoms
and
disease
progression,
to
assess
your
risk
for any unwanted (ie cancerous) development.
This
will
be
coupled
with
modern
medical
equipments
like
the
in-clinic
ultrasound,
endoscopes
as
a
minimally
invasive
access
approach
to
sample
cells
from
the
mass,
tumours
or
swellings
in
the
organ
of
questions,
be
it
the
thyroid
gland,
salivary
gland,
mouth
or
nasal
cavities
etc.
Occasionally
other
modalities
like
CT
or
MRI
scans
are
needed depending on the condition of the patient.
The
surgeon
is
committed
to
obtain
the
most
acccurate
sample
that
will reflect the ongoing disease process to verify your diagnosis.
Talks about NECK SWELLING on 2/1/15
(for educational purposes, in BM, copyright TV9)
Talks about THYROID on 6/12/16
(for educational purposes, in BM, copyright TV3)
Continue to Part 2
The
sample(s)
will
be
processed
by
the
sampling
surgeon
before
sending
the
samples
to
the
laboratories
to
be
expertly
interpreted
by
the
pathologist
(a
specialist
who
diagnose
disease
through
microscopic studies of the cells).
The
surgeon
will
work
closely
with
the
pathologist
in
the
event
of
any
discrepancies.
Sometimes
more
tests
may
be
needed
based
on
the
expert advice of the pathologist to diagnose even rarer conditions.
Talks about NASOPHARYGEAL CANCER on 27/7/17
(for educational purposes, in BM, copyright TV3)
The pathologist at work at the microscope
DISORDERED ARRANGEMENT of the
CANCEROUS PART
ORDERLY
ARRANGEMENT of the
NON-CANCEROUS
PART
photo credit : http://www.pathologyoutlines.com/topic/nasalnonkeratinizingundiff.html
DOWNLOAD OUR CONTACT DETAILS:
ENTdrvincenttan@gmail.com
+603-3377 7864
+6012-3760 728
Vincent Ear, Nose, Throat, Head and Neck Surgery
Specialist Clinic, Clinic Suite 210, Level 2,
KPJ Klang Specialist Hospital
No.102, Persiaran Rajawali/KU 1,
Bandar Baru Klang,
41150 Klang,
Selangor
vincentENTHNS
3.062578,101.46332
(Google Maps, Waze: KPJ Klang, Vincent ENT)
Mon-Fri: 930am-5pm
Sat: 9am-1230pm
CONTACT US
CLINIC HOURS:
vincententhns
Vincent ENT Clinic
Ear, Nose and Throat (ENT), Thyroid, Head and Neck Surgery
Specialist Clinic
Committed to YOUR Well-being
Copyright Dr.Vincent Tan 2020
