Please comment on Hot Hurthle cell change

[longestdays]

I had a enlarged thyriod found in 2001. A I-123 scan found a hot nodle and I was told that there was a very low chance of cancer and no further steps required by both my first and second opnion.

In April 2009 I went back to a new doctor for a physical and asked her to check back up on my Thyriod. I Had a Ultra Sound (yep nodle still there at 2.0cm), then a I-123 (yep nodle still hot), FNA (colliod found, few hemosiderin-laden macrophanges, but follicular epithelium that exclusively exhibits Hurthle cell change. A possible Hurthle Neoplasm cannot be excluded).

So I have a smaller - hot nodle for 7 years  From what I read a "Hot" hurthle cell cancer is very rare and very agressive,, would I still be a live if this was really hurthle cancer given a mortality rate of 50% even after it is taken out?

I know I am bargining with myself but from what I read the following is good..
<4cm
colliod found
Hot
Age <50 (I am 35 fist found at 27)
Not growing (presently)
few macrophlanges

Am I deluding myslef????

Carl

[Mark Lupo, M.D.]

press your doctor - it is really more of an insurance issue and the issue of pressing the lab that has your slides to send them out.

[Mark Lupo, M.D.]

This is likely a benign nodule.  Hurthle cells are found in many benign situations.  Would have the slides sent to an expert for another opinion before claiming this is "suspicious for Hurthle Neoplasm"  

Distinctly hot nodules are rarely cancer.  Over time these may develop into hyperthyroidism ("toxic nodule") - so would also keep track of the TSH.

[longestdays]

I asked my general doctor to send these slides to Baloch, but she said she did not think it could be done. I am set to talk to a endo later this month. Would he be able to send the slides or should I press my doctor?