Hasimoto thyroiditis and goiter please help!

[Jeda01]

Hello,

I am 33 years old and have been diagnosed with Hashimoto thyroiditis and a mulitnodular goiter. I had an ultrasound done and my right lobe is bigger then the left .  It measures 4.4 cm. I also had an Fna biopsy done and it states this:
The specimen is moderately cellular and consists of lymphoid population which is polymorphic, including small lymphocytes and larger reactive- appearing lymphoid cells.Howeever, there are atypical lymphoid cells seen; a lymphoproliferative disorder arising in the background of thyroiditis can not be entirely excluded.Rare scattered follicular and Hurthle cells are seen.Colloid is scant. The fusing is Atypia of undetermined significance. I can feel the lump on the outside if my neck. I have pain on the right side back if my neck, I feel dizzy, discomfort when swallowing and a clicking sound and pressure in my right ear. With my symptoms and the FNA biopsy finding, should I have this thyroid removed?

[Jeda01]

Thank you very much for your response! It really helps to put my mind at ease.

[898_1]

Most of the biopsy findings are suggestive of autoimmune thyroidis (Hashimoto's).
Lymphoproliferative disorders (LPDs) specifically refer to several conditions in which lymphocytes are produced in excessive quantities. They typically occur in patients who have compromised immune systems.
Lack of colloid in this specific sample is not necessary mean neoplasm because the specimen does not show microfollicular pattern just random cells.