A few days ago, I’ve done a fine needle aspiration biopsy(FNAB) on a big lump in the neck of a female patient, 34 years of age. She has the lump since 20 years ago, it grows bigger and bigger until a diameter of 15 cm, when the first time she saw me. At that time I made a diagnose of adenomatous goiter, due to the abundant macrophages seen on her slides.
Yesterday, the patient underwent surgery and a big specimen I received from the operating room. Yes, as you can see on the photograph herewith, they’re bilateral thyroid gland, right and left lobe. When I looked at the microscope, I was so happy, because I did see the morphology of adenomatous goiter. I was not dreaming,
I sent an sms to the patient, telling that her tumor was totally benign, nothing to worry about. So, I hope I will see her someday in Timika, West Papua where the panoramic nature are absolutely fantastic..
Yes, I am still happy until I write this article, because I was successful with my job. God bless me! Thank you God..
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sumiyati: ass bu dokter,, bapa saya umur 50, di atas pusar’y ada benjolan sebesar telor keras tp kata’y...
devy putri: dok mama saya penderita penyakit maag, setiap hari sendawanya ga berenti2 asam lambung nya juga sering...
alisa cihui.aiz: saya alisa umur 18thn saya sdh mnikah dan puny ank.sy tdk dtng bulan slm satu thn dan pda bln...
sahuri: malam bu dokter saya sahuri usia saya 41 thn mau minta tlng mengenai sakit yg selama ini saya derita selama...
Sita Nur: dok, mau tanya.. apakah penyakit Marfan’s syndrom terebut dapat diwariskan/akan menurun ke...
gita: Dok tdinya saya kan tadinya amandelnya bengkak terus mulaii flu terus menjalar ke batuk dan tapi saat setiap...
Robert H. Ginting: Dokter, saya ada benjolah di tengah tengah bahagian bawah diantara rusuk kiri dan kanan. Benjolan...
Dr. Sukma: Halo Ayu, siingkat saja ya.. Kesimpulan hasil pemeriksaan PA adalah tumor jinak yg disebut Mammary...
ayu: Ass dok, maaf dok saya ayu mau menanyakan dok hasil PA dari FN Ab tumor payudara saya yg ada di mamae kanan di...
rahmi: Dokter, anak saya ketika lahir ada benjolan di bahu kanan. Benjolannya sebesar telur ayam. Perawat bilang itu...
watiex: Dear Dr.Sukma dua hari ini ketika saya meraba bagian dalam vagina kok ada benjolan kecil di mulut rahim...
dputri: hallo dr.sukma saya mau tanya. ayah saya memiliki benjolan keras di dalam perut di bawah tulang rusuk apa...
Mita: Shallom Dok 
saya Mita. saya positif marfan. umur saya 22 tahun..pencegahan apa yg mampu sy lakukan ya dok?...
lisda: dok papa saya terkena tumor nasopharynx sebelah kiri ,sedangkan kanan nya baik . dan bengkak di leher sebelah...
Adinda: Dear dr Sukma Saya wanita usia 37 th. Belakangan ini saya sering merasa pegal/nyeri di pinggul dan bokong,...
ajeng: dok saya ajeng umur saya 15 tahun haid saya tidak lancar sering telat berbulan bulan jika haid pun lama bisa...
vhita: Ass.dokter saya mau tanya.saya memang pny wasir luar ada 2 benjolan.kmrn2 saya sudah ksih salep ultraproct...
Dr. Sukma Merati is founder and owner of Riau Pathology Center in Pekanbaru, Riau. Dr. Merati has had various international experience and training, including as a fellow doctor at The Mount Sinai Hospital in New York City, NY, USA (2000-2002).
April 24th, 2009 at 1:19 pm
Hello JABuduan,
I am glad too that you had a benign lesion of your thyroid gland. Congratulation and take care…
April 23rd, 2009 at 3:20 pm
Hi. Im really glad in your findings. I, too, went under the knife and had a different diagnosis after my surgery. I was initially diagnosed with papillary carcinoma which was known after a needle biopsy was done on a lump found in my neck. Then I went to a private (reputable) hospital to have my surgery done. Instead of removing all my thyroid, the doctor suggested that there will be a biopsy of the cyst to determine whether total or subtotal thyroidectomy shall be done. I was grateful when the latter was resorted to since the real finding was an adenomatous goiter with papillary hyperplasia. Thanks God for the result.
June 30th, 2008 at 11:05 am
Dear medical student,
Thanks a lot 4 ur comment.. Your comment encourage me to write more about our medical world. (I’ve heard that some people beyond medical society were frightened when they looked at the macroscopic specimen in the article).
June 29th, 2008 at 5:01 pm
Cool DOC!!
Dr. Sukma please blog more on medical and surgical stories =) It will be inspiring for medical student like me
Thank you!