I found this in an archive entry on the doctors forum
Most follicular lesions (80%) are benign, but there is no test except surgery that can determine if it is malignant. The guidelines suggest obtaining an I-123 uptake and scan and if this is a "hot" nodule it can be watched. If it is NOT hot (ie either warm OR cold) -- then surgery.
My biopsy was atypical for follicular cancer but was actually benign. However, 2 small areas of pap cancer were found elsewhere in the gland .. very small and very encapsulated with no lymph node involvement. My 2 nodules they went in to remove turned out to be adenomas (or overgrowth of thyroid tissue).
My FNA report conclusion was "benign follicular clusters", I still had cancer...they just didn't get the right cells when they did the FNA biopsy. Follicular cells can be cancerous, or they can signal there are cancer cells present. Follicular cells that cluster is a bit more worrisome. Most follicular lesions are benign, but are 1 in 5 odds high enough for you to wait? What were your ultrasound results? How big is it? Does it have vascularity? What shape, round or irregular? All these factor in to a decision. If your nodules are large, vascular and irregular, and if they have calcifications, then your chances are a bit higher.
Heres a quandry.... Just had a hemithyroidectomy, the pathologist was unable to determine its significance during the surgery so they just took the 6cm nodule and right side of the thyroid out. The pathologist was still unsure after analyzing the tissue, so he sent it to a follicular neoplasm specialist in Italy. The verdict? He cant be sure either. He determined that its a follicular lesion that has many characteristics of cancer cells.
Do i have the 2nd half removed or wait and watch it?
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.