I need Help and Advice

[msataha]

my wife is 42 year-old with euthyroid. has left thyroid nodule, solid, ill-defined with calcification, U/S guided FNA done to R/O malignancy. Size of nodule: 2.9 x 2.1 cm.
specimen: Left thyroid nodule.
Gross description: Received alcohol-fixed and air-dried smears for cytology. Stained with DQ and Pap stains.
Microscopic Description: Adequate sample.
Aspirate smears contain disorganized, crowded follicular cells, repeating microfollicular structures and single cells scattered in abundant thic colloid. There is cystic degeneration, degenerated cells, macrophages, debris and hematic material in the background.
There is no significant cytologic atypia.
Interpretation: Left thyroid nodule (FNA): Follicular neoplasm, favor adenoma.
Comment: Surgery is recommended so that the capsule and vessels can be carefully examined for evidence of invasion.
I need your help and advice.
Best Regards

[Kat1777]

I'm not a doctor, but I'm going through the same thing, so I can give you some insight. I have a follicular lesion that is "suspicious for follicular neoplasm" with a microfollicular pattern. My FNA is pretty vaguely worded other than that, but it does state that there is still a possibility of follicular carcinoma or follicular variant of papillary carcinoma.

I met with a surgeon at a leading cancer hospital last week. He said (and I quote), the biopsy results mean "they don't know what the hell it is." And the only way they can know for sure is with surgery. My surgeon says probably 20-30% chance of cancer in this situation.

Please have your wife seek further medical advice on this issue. You could watch and wait, but the nodule is fairly good sized. If it continues to grow and is cancer, her prognosis could decline. Right now, with removal, she would have a very high chance of cure based on her age and its current size.

[msataha]

Thanks and i am so sorry i thought it is a doctor form.
Sorry again

[laura1967]

Hello. This is the patient forum and not the doctor forum, so we can only give our personal feelings and thoughts by our experience. As far as a medical professional's advice, I would ask her thyroid doctor what his recommendation is.