Does anyone here know if it's possible to have some chronic lymphocytic thyroiditis with all normal thyroid blood tests? I have always had normal thyroid blood tests including for antibodies that I had tested for the first time last year.
Last year I had a biopsy of 3 small thyroid nodules, and the largest is 1cm the smallest were 5. something and 7 . something and when I got a second opinion from a top pathologist at university of Penn, he describes some Hurhle cells and few lymphocytes percolating among the follicular groups suggesting an element of chronic lymphocytic thyroiditis.
The Hurthle cells and the element of chronic lymphocytic thyroiditis wasn't found in the largest 1cm nodule. My endo unfortunately combined the cells from the 2 smallest nodules in the same container so I don't know which of the smallest nodules this came from or if it came from both of the smallest ones.
Also, in my recent thyroid ultrasound the radiologist describes my thyroid echotexture as being heterogenous and the other 2 ultrasounds I had done there last year and in July 2007 my thyroid echotexture was always described as homogeneous.
The radiologist called me back and left a nice long message on my voice mail and gave me a better phone # to reach her to discuss my ultrasound in details. She said on my voice mail that the heterogeneous echotexture of my thyroid reflects the lymphotic thyroiditis.
Two months before I hade my FNA my thyroid echotexture was still described as homogeneous. I have no symptoms at all except an etremely slow metabolism for the last 10 years.
I don't understand how it can be possible to have chronic lymphocytic thyroiditis with all consistent normal thyroid labs. When I look up chronic lymphocytic thyroiditis on medical sites it says that it's another name for Hashimotos and goes on to describe symptoms that I don't have.
I had asked the university of Penn pathologist about this and he said you don't have Hashimotos, or hyper or hypothyroid conditions to have chronic lymphocytic thyroiditis, but I don't understand how that can be if this is the same thing.
If anyone has any info I would really appreciate it.Thanks.