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Follicular Neoplasm

Is it always thyroid needs to be removed (at least partially) if you get this FNA results?
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1100591 tn?1265778539
These past 9 mos. I have been experiencing throat/neck pain.  At first I thought it was from not drinking enough water with my night meds.  I went through a few lidocaine cocktails at work to get me by, but they didn't work,lol.  The pain has gotten to be quite bothersome lately, which prompted me to get it checked.  My wonderful ARNP, JoEllen, found a lump that she felt needed to be examined by an ultrasound.  I had the test on October 9,2009.  
      I recieved results and the report read of a hypoechoic noncystic nodule with vascular character 1.2cm maximum dia. in the lower pole right lobe of my thyroid gland.  There is also a 4mm vascular nodule hypoechoic focus centrally observed in the left lobe.  The gland is otherwise homogeneous in echotexture and normal in vascularity and normal in size.  I was told by my Doctor that I would need to find an oncologist.  I was scheduled for the next step which was a thyriod scan.  It was fine.  

Thyroid Peroxidase Antibodies <10   ref. range <35 IU/mL

Thyroglobulin Antibodies <20     ref. range <20 IU/mL

Thyroglobulin 9.8       ref range 2.0-35.0 ng/mL


Path Report is so hard to understand though

Clinical Data: RIGHT THYROID NODULE DIAGNOSIS:  FNA, RIGHT THYROID NODULE: MICROFOLLICULAR PREDOMINANT PATTERN WITH ABUNDANT COLLOID.  
MICROSCOPIC DESCRIPTION:
It appears mostly microfollicular with nuclear overriding.
Classification: Indeterminate.
Due to the predominance of the microfollicular pattern a follicular neoplasm cannot be totally excluded.

I drove 6 hours to Moffitt to be seen to sch. surgery like edno said but the surgeon didn't act concerned and told me to repeat all tests in 6 months...
it has been almost 3 and I have had no relief from the dull ache in there. I am having night sweats on and off too, can you help?
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Avatar universal
898
Because benign follicular adenoma is very similar to follicular carcinoma, it needs to be removed. the post-surgical biopsy will determine if follow-up treatment is necessary.
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