FNA Results - Help!

[dscoochie]

I am a 41 year old female with no family history of thyroid disease or radiation exposure.  Approximately 6 months ago I noticed a large "lump" in my neck, which upon ultrasound was found to be a 1.9 x 1.7 x 1.3 solid rounded nodule in the isthmus.  There was no other masses or lymphadenopathy.

Blood work showed all thyroid levels were normal.

I then had a FNA, the results of which are:

Consistent with Hurthle Cell Lesion:
- Hurthle cells present
- Follicular cells present
- Colloid present
- Macrophages present

I am schedule for a Left Thyroid Lobectomy with Isthmusectomy (sp?) on April 7th.

Can anyone help me decipher these results and tell me what the chances of cancer are?

Thanks so much!

DSC

[marshmallow]

The best endo apparently in Toronto is at St. Mike, his name is Doctor Hanna. See if you can get a referral or get in. I am in Brampton and am going to get referred to him as well. My family doctor strongly believes in ST. Mike's and it's team of endo as they are a teaching hospital so he feels that they are exposed to more options than others.

[dscoochie]

Thank you for the prompt answer, Dr. Lupo.

Unfortunately, I dont have the time to send the slides away for review as my surgery is less than two weeks away, and I'm in Toronto, Canada.

What makes you think that it may not be a Hurthle Lesion?

[Mark Lupo, M.D.]

Chance of cancer is about 20% - if this is a true hurthle lesion.  Would consider sending slides to an expert for second opinion as surgery in this case is a diagnostic procedure -- often best done on the FNA slides by an expert thyroid pathologist -- Johns Hopkins or U Florida (Dr. Massoll) would be a good place.