Hi, I have a solid right meddle lobe thyroid nodule 1.9 cm. with very pronounced internal color flow, had a FNA and the report states as follows: Favor Benign, rare colloid, degenerating follicular cells with hurthle cell changes and intracytoplasmic pigment are present, favor benign follicular nodule. My question is my family doc states report is benign, just wanted to be sure as there are hurthle cell changes. Thanks
Hurthle changes are common and should not be thought of as suspicious in this context. Would follow the nodule with ultrasound to confirm stability as about 5-7% (nationwide average) of "benign" FNAs are incorrect.
I know I'm not a doctor,but if you see my post on here now which Dr.Mark Lupo answered,you will see that I had similar FNA description(done in 2008) as yours with Hurthle cell changes,and one of the top University of Penn thyroid pathologists,who gave me a second opinion on my FNA results,explained to me that he could have Hurthle cells in his thyroid,children have them and that they are normally in the thyroid,it's only when you have a large amount of them like 75% or more,that it's likely to be cancer to worry about.
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