From the ultra sound, I understand that I have a multinodular goitre - but only 2 nodules? - a major one on the left side and a minor one on the right side. From my first FNA on the major nodule, I have been given the diagnosis of Hurthle cell lesion of undetermined significance (THY3a) from a multinodular goitre but within the presence of abundant colloid. I am waiting now for the second FNA results from both nodules. Does the first FNA indicate a benign setting or is it highly likely to be a malignant nodule? Does this mean the second FNA was to determine whether there metastisis into the right side? If the second FNA report is the same i.e Thy3a, does this anyway mean inevitable surgery and total thyroidectomy?
"Thy3a" must be a code specific to that pathology lab -- not a universal category. Repeating the FNA is reasonable ,but prior to making surgical decisions would have the slides sent to an expert to confirm category of "hurthle cell lseion of undetermined significance" as many of these are readily diagnosed as benign by expert thyroid cytopathologists.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.