Do I need surgery? If yes, can it be in a month? Advice appreciated

Here is my biopsy report. Would appreciate any advice and opinion if surgery is definitely needed and if I can wait a month

Type of Study:

Cytological examination of thyroid gland punctate, parathyroid gland, or lymph nodes

Date of Study: 03.03.2026

LABORATORY RESULTS

Type of Material: Punctate (fine needle aspiration)

Sample Description:

1 smear P10(1); 1 smear LyBtrP10(2)

Reference number: 1179/26

Microscopic Description:

Sample 1 (thyroid nodule — 1179/26 1):

Against a background of colloid, peripheral blood cells, and “bare nuclei,” groups of proliferating follicular epithelial cells of the thyroid gland without atypia were identified, both isolated and in groups. Additionally, groups of enlarged atypical cells suspicious for malignancy were found (cells of glandular/adenocarcinoma type?).

Sample 2 (lymph node — 1179/26 2):

The smear contains erythrocytes, lymphoid and histiocytic elements. The cytological picture corresponds to reactive changes in the lymph node.

Number of slides: 2

Complexity category: 5.00

Cytological Result:

P10 (№1179/26 1). Suspicion of malignant neoplasm of unclear histogenesis, in accordance with the criteria of the Bethesda classification system — Category V (Suspicious for Malignancy).