If Hurtle cells are forming sheets or clusters then it will for sure mean the neoplasm.
Rare Hurtle cells can be found among patients with Hashimoto's thyroiditis.
Due to the lack of colloid in the specimen, you definitely need a second opinion from the different cytologist; your present report sounds very sketchy. If neoplasm will be favored after second opinion, the molecular testing can be used to determine odds of malignancy.
Honestly, I'd get a 2nd and possibly 3rd opinion on those results...because mine were very similiar and all of my opinions suggested total removal of my thyroid..no waiting! My thyroid labs were all normal as well and my surgeon explained that as long as the thyroid is functioning with the nodules, the results will be normal ....
Thanks 898_1 and blsdnsvd for your comments! I'm in the process of getting in to see another Endo for a second opinion. I talked with my GP today and he agreed that the pathology report sounded very sketchy to him even.
blsdnsvd, were your nodules malignant?
Thought you guys would want to see Dr. Lupo's response as well....
by Mark Lupo, M.D.
Would have the slides sent to an expert for a better reading in order to categorize this as either benign or indeterminate for follicular neoplasm --- the report should not say it could be either! Baloch at U Penn is very good with this or Hopkins, Mayo, Harvard --- but a second opinion is needed.
Does anyone know if I can personally request (directly to the path lab) that the slides be sent to another expert or does a doctor have to do this?
How long will the slides be in the current lab before they dispose of them?