I need advice!! Please!

I saw my doctor today and after being told that I did not have cancer by the stand in doctor and that I was doing just fine on the pills. My doctor today tells me that she thinks I need surgery due to Hurthle cells. I am so confussed and scared. Can anybody shed light on my situation. Thanks!

[als3672]

Hi.  Was the "stand in doctor" reading your biopsy report and made that call?  Did your doctor then get a hold of the info. and contact you?  What is the info. behind your nodule / biopsy report?

I am having surgery in two weeks for a biopsy report which came back as "Indeterminate / Suspicous" and it was largely due to "Hurthle cell changes".  My understanding is that Hurthjle cells can be alarming to some doctors and to others they are not (some just watch and wait) and that Hurthle cells can be malignant, benign or pre-cancerous indicators.  Great, huh??  They CAN BE the entire spectrum.  For whatever reason, (I am assuming b/c they are erring on the side of cautionary) both my ENT and Endocrinologist said that based on my report I should have at least a partial thyroidectomy with possibility of a full - depending on how it looks during surgery and on the outcome of the biopsy from the surgery.  

[898]

I will look for more detailed answer but some occasional Hurtle cells are present in many benign nodules. If the Hurtle cells are forming the structure [tissue] then this condition requires surgery to remove the nodule [but no Rai treatment]

[beva32]

The stand in doctor told me just " you dont have cancer" thats it. Not to mention the fact that he said I was his last patient and that he was very tired. Today I just went to get a refill on my meds and she read the results and asked if the stand in doctor had told me about the hurtle cell change. I am in shock and scared! I thought I was doing good but all I could think of doing is asking for a copy of the results this is what it says:  Cellular aspirate consisting of a reactive lymphoid cell population and rare follicular cells with hurtle cell change c/w limphocytic / hashimotos thyroditis. Please correlate clinically. Reactive lymphoid cells.

Please any advice or imput or anyone that has an idea what this means please help. My medicaid is gone on the 28th and I dont know what I am going to do if I need surgery. Thanks

[898]

"Hürthle cell  is an oncocytic cell in the thyroid that is often associated with Hashimoto's thyroiditis.
A Hürthle cell adenoma is a well-differentiated type of follicular thyroid adenoma (benign tumor) that, in rare cases, has the potential to become malignant and metastasize (Hürthle cell carcinoma)"
Your report does NOT say "hurtle cell adenoma" so it looks like they found occational cells NOT the "sheet of cells".
Hashimoto's disease associated with  formation of scattered LOOSE Hurtle cells.
You may need to look for the second opinion if  the doctor cannot make conclusion from the report.
Reactive population of lymphoid cells is the sign of Hashimoto's thyroiditis

[beva32]

Will I need surgery?