Thyroid Disorders Community
Thyroid Disorders
About This Community:

This patient support community is for discussions relating to thyroid issues, goiter, Graves disease, Hashimoto's Thyroiditis, Human Growth Hormone (HGH), hyperthyroid, hypothyroid, metabolism, parathyroid, pituitary gland, thyroiditis, and thyroid Stimulating Hormone (TSH).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Thyroid Disorders

Dr. Lupo,
     I recently had a thyroid ultrasound which revealed a complex, mostly solid thyroid nodule on the left side.  I then had an ultrasound guided Thyroid FNA.  The pathology report is as follows:  A.  Left Thyroid Lobe, FNA:   Suspicious for a Follicular Neoplasm (see comment).  Comment:  The fine needle aspirate shows tightly clustered small thyroid follicles with the follicular cells showing no significant atypia.  The FNA material also contains scant colloid and
macrophages.  The differential includes a predominantly microglandular adenamatous nodule versus a follicular neoplasm.  B.  Tissue labelled "Left Thyroid Lobe, Needle Biopsy":  Benign appearing Thyroid tisssue composed of varying sized Thyroid follicles with a predominance of small follicles.  No malignancy identified.  Diagnosis Comment:  Based upon the combined specimens (A and B), a lesion of a benign adenomatoid nodule is favored but a follicular neoplasm cannot be entirely excluded.  In your opinion, should I have surgery to remove the nodule?  Thank you.
Related Discussions
2 Comments Post a Comment
Blank
Avatar_f_tn
I am no doctor, but you sound like what I have experienced.  It is frustrating to get that diagnosis!  I had four nodules, three on the right, one on the left.  Largest 2.1 cm, three solid, one complex.  Biopsy revealed "benign follicular clusters", but I still had cancer.  The fact that the cells are clustered is a concern--seems they are more likely cancerous than if you had cells that were random. I only had one nodule tested, the biggest one, that one did not have cancer in it, but they found the cancer in the thyroid tissue itself.  I removed the right side initially to hopefully cure my hoarseness and to test for cancer.  They found three microscopic tumors in the right side.  Then we had the other side removed, the one with the complex nodule, that was where the big tumor was, 1.5 cm. Are you having any symptoms?  If they are bugging you, take them out.  If not, have them re-tested in 6 months.  Luckily, thyroid cancer is almost 100% curable in most cases, and it grows slowly except in the case of certain more rare forms, so you have time to think about it.  Do you have siblings with thyroid disease?  My thyroid issues are familial, dad, two brothers have Hashimotos, as did I, and after I was diagnosed, my sister went in and was tested, she had the same cancer.  My other siblings are also being tested, out of the nine of us, so far five have thyroid issues.  Keep searching for the answer, remember, you still only have about 20% chance of having cancer, but it is important to get the answer.  Good luck.
Blank
929504_tn?1332589534
I was in a similiar situation as yourself, having the same diagnosis on one side and hurthle cell neoplasm on the other...I also had a benign result from the fna, but follicular neoplasm could not be ruled out. I had a TT on 12-17 due to the abnormal cells on both sides. My pathology report was benign for cancer..Thank God, however, i am relieved that i had the TT. I am assuming that you would b recommended to have at least a parital Thyroidectomy due to the cells that are there. You should have more than one opinion in order to determine what should be done.  
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Thyroid Disorders Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Thyroid Answerers
Avatar_f_tn
Blank
goolarra
Sisters, OR
649848_tn?1357751184
Blank
Barb135
FL
Avatar_m_tn
Blank
gimel
MI
168348_tn?1379360675
Blank
ChitChatNine
1204245_tn?1356904325
Blank
898_1
Long Beach
1756321_tn?1377771734
Blank
Red_Star
Queensland, Australia