Suspicious thyroid biopsy findings

[PARROTWOMAN]

I recently had a fine needle aspiration biopsy on 2 nodules in my thyroid.  My doctor has known about the nodule on my right nodule for at least five years and, although it's grown larger, the biopsy is fine.  The small, new nodule on my left lobe has some worrisome qualities.  My doctor called me at home (always a bit disconcerting) and told me that the FNA has lymphocytes in it.  Actually the report states "the specimans from the small (1.2 x 0.8 x1.4 cm.) left upper pole nodule revealed a rich mixed lymphocytic harvest representing an atypical lymphocytic proliferation.  The Cytopathologist placed the specimans in the suspicious catagory and recommended additional studies, flow cytomettric analysis.  My doctor seems to think that this is no big deal and to come back in anytime in the next couple of months, no hurry - just don't wait until July.  He really downplayed the whole thing, but I am really scared.  Is there anything else it could be besides cancer?  Has anyone has a similar experience?  ANy info would be appreciated.

Thank you.

[utahmomma]

I'm not the expert on labs and medical terminology (that's why I added GravesLady to the to: line).  However, I did a bit of online research about "atypical lymphocytic proliferation" and found references for it in all sorts of disorders from mononucleosis to TB to cancer.  



Is there any way that you can call your doctor's office tomorrow and ask additional questions?  This isn't that uncommon a request as many of us pretty much forget how to form words when our doctor call us at home.  Shock is a fun thing.



Your "smaller" nodule is actually a bit on the large side.  Did your doctor (is he an endocrinologist??) go over possible next steps??  Usually a nodule of that size with the history of growth and "suspicious" pathology would warrant a thyroidectomy for most doctors (probably complete since you have a larger nodule on the other side).



I don't know if you have posted to the Doctor-moderated Thyroid forum but this may be a good one to ask Dr. Lupo (just as a second or third opinion).  I'm sure there will be others posting their experiences here but, if I was in your shoes, I'd be asking for additional clarification from your doctor - even if it means scheduling an appointment.

[GravesLady]

Nothing more I can add to utahmomma, she pretty suave. When in doubt, ask your doctor.  There is no question to small or insignificiate.  Its your body, your health - your money!



Good luck and keep us posted on the outcome and your progress.



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