I have a 2.2cm complex left lobe thyroid nodule that was found incidentally by c-spine MRI, TSH blood work was done and all within normal limits. Biopsy was performed and this is the results:
FINAL PATHOLOGIC DX: Fine needle aspiration biopsy of left thyroid nodule-atypical cellular lesion (TC-3). A follicular neoplasm cannot be excluded. Please see microscopic examination.
MICROSCOPIC EXAMINATION: The smears are hypercellular with multiple groups of follicular epithelial cells some which have undergone hurthle cell metaplasia. A microfollicular element is present. Colloid is present and there are pigmented macrophages present consistent with cyst contents. In some areas there appear to be small benign lymphocytes present raising the possibility of a chronic thyroiditis. There are some areas present suggestive of fibrosis. The possibility of a follicular neoplasm cannot be excluded. The differential diagnosis would include an adenomatous nodule with degenerative change and hurthle cell metaplasia, follicular adenoma, and although considered less likely the possibility of a well-differentiated follicular carcinoma cannot be completely excluded by cytopathologic study. Fixed tissue studies are recommended.
My question is:
The doctor I am seeing for this is a general surgeon, he is not an endocrinologist, but he claims he does hundreds of thyroidectomys a year. His response to my biopsy results is to perform a total thyroidectomy, I am 32 years old and I don't understand why he wouldn't remove only the left lobe, he only states he doesn't want to risk anything or take chances that it would be better to just remove the whole thyroid. I am not looking forward to having to take thyroid medication for the rest of my life, please help with your thoughts on this, and what would you do with these results! Thank you so much!