Thyroid Fine Needle Aspiration (FNA) in Kathmandu
Expert Thyroid Biopsy for Suspicious Nodules
By Dr. Sanjay Kumar Thakur - Oncology Fellowship (Royal Marsden UK)
📞 Book FNA: 9700682797What is Thyroid Fine Needle Aspiration (FNA)?
Thyroid Fine Needle Aspiration (FNA) is a minimally invasive procedure to obtain cells from a thyroid nodule for microscopic examination. It's the gold standard test to determine if a thyroid nodule is cancerous or benign.
Why Dr. Sanjay's Oncology Fellowship Matters: Dr. Sanjay Kumar Thakur's Oncology Fellowship from Royal Marsden Hospital UK (world's first and leading cancer hospital) provides specialized expertise in thyroid cancer diagnosis, nodule assessment, and FNA interpretation - expertise unmatched in Nepal.
When is FNA Needed?
Nodule Characteristics
- • Nodule larger than 1 cm
- • Suspicious ultrasound features
- • Irregular borders or shape
- • Microcalcifications present
- • Increased blood flow
- • Solid rather than cystic
Patient Risk Factors
- • Family history of thyroid cancer
- • Previous neck radiation
- • Rapidly growing nodule
- • Hoarse voice or difficulty swallowing
- • Hard, fixed nodule on exam
- • Enlarged lymph nodes
The FNA Procedure
Ultrasound Guidance
Ultrasound used to precisely locate the nodule and guide the needle to the exact spot.
Local Anesthesia
Skin numbed with local anesthetic. Most patients feel only mild pressure.
Cell Collection
Very thin needle inserted into nodule. Multiple samples taken from different areas. Takes 10-15 minutes.
Pathology Analysis
Cells examined under microscope by pathologist. Results typically in 3-5 days.
Results Discussion
Dr. Sanjay reviews results with you and discusses next steps based on findings.
FNA Results - Bethesda Classification
| Category | Meaning | Cancer Risk |
|---|---|---|
| I - Non-diagnostic | Insufficient cells | Repeat FNA needed |
| II - Benign | Non-cancerous | <3% |
| III - AUS/FLUS | Atypical cells | 5-15% |
| IV - Follicular Neoplasm | Suspicious | 15-30% |
| V - Suspicious | Likely malignant | 60-75% |
| VI - Malignant | Cancer confirmed | 97-99% |
Is FNA Safe?
Yes, FNA is very safe. Complications are rare and include:
- • Minor bleeding or bruising (most common, resolves quickly)
- • Temporary pain or discomfort
- • Infection (extremely rare)
- • Damage to nearby structures (very rare with ultrasound guidance)
Most patients return to normal activities immediately after the procedure.
World-Class Thyroid Cancer Expertise
Dr. Sanjay Kumar Thakur is the ONLY doctor in Nepal with Oncology Fellowship from Royal Marsden Hospital UK, the world's first hospital dedicated to cancer and Europe's largest comprehensive cancer center.
This specialized training in thyroid cancer diagnosis and management, combined with his Diabetes Fellowship from CMC Vellore, makes him uniquely qualified to perform and interpret thyroid FNA biopsies.
Learn More About Dr. Sanjay's Qualifications →Need a Thyroid FNA Biopsy?
Get expert evaluation by Nepal's only Oncology Fellowship trained thyroid specialist
📞 Call: 9700682797