Hello, I am a 35 year old femal recently diagnosed with a large 4cm length / 2.8cm trans /2.6cm AP complex nodule on my left lobe, right lobe looks normal on ultrasound. The mass was palpable on a routine exam. Results of the FNA as follows:
Microscopic Description: The aspirate is of adequate cellularity. Most of the diagnostic material is on the Diff Quik stained slides. There is abundant watery colloid in the background along with some foam cells. Multiple, loosely cohesive groups of follicular cells arranged in two dimensional sheets are present. Some of these have abundant, slightly granular cytoplasm suggesting early Hurthle cell change. Cytologic features of malignancy are not seen.
The ENT surgeon would like to remove the left lobe anyway and do a frozen section in the OR to determine if all should come out, siting the chance the FNA missed "the spot" and there is still a possibility of malignancy especially since the mass is so large.
My question is does this sound reasonable and should I just go for it, or should I seek the advice and services of an endo prior to surgery. Even if I do the surgery, will I need an endo to follow up with? I know that if the entire thyroid needs to be removed that will mean life long meds, but with half are chances good that I will not need medication? My current thyroid labs are:TSH=1.703(lab scale .35-5.5) T4=10 (4.5-12) T3Uptake=24 (24-39)Free Thyroxine=2.4 (1.2-4.9) Thanks for any advice and insight,I am wondering how long this has been growing since I am pretty sure my neck is palpated every year at my annual exam.