A related discussion,
thyroid nodules was started.
A related discussion,
In response to Complex Cold Nodule was started.
A related discussion,
surgery only option was started.
I'm in the same boat. Mine's a week from today (29th). I chose to focus on the positive. I hear more good stories than bad. I'll let you know!! Good luck to both of you. It'll be okay! They know what they're doing!
Hey Marie
I am in the exact same position as you. I also have a complex cyst. I had 2 biopsy's in 2 months and the cyst never went away. My results show either benign or say insufficient material. I have opted for surgery. I did not even see an endocronologist. To me, if there is any possibility that it is cancerous I feel it needs to be removed. I am totally scared about my surgery. It's just one week away. I think my cyst also needs to come out because it is causing me pain and at times it hurts to swallow and talk. Are you having that happen to you? You will be okay :)
Shari
Marie,
Complex nodules have cystic (fluid) components. These commonly have inadequate FNAs b/c cyst fluid do not contain enough thyroid cells to see on the slide mad from the FNA. If it is stable in size and not causing symptoms, I see no urgent indication for surgery. If one lobe is removed, typically the other lobe is adequate for thyroid hormone production and meds aren't necessary (although this is not always the case as highlighted by a recent publication). Thyroid hormone suppression does not always help, but is often tried.
I would repeat the FNA before surgery. Doing this under ultrasound guidance increases the yield.
Good luck, ML
Marie,
Complex nodules have cystic (fluid) components. These commonly have inadequate FNAs b/c cyst fluid do not contain enough thyroid cells to see on the slide mad from the FNA. If it is stable in size and not causing symptoms, I see no urgent indication for surgery. If one lobe is removed, typically the other lobe is adequate for thyroid hormone production and meds aren't necessary (although this is not always the case as highlighted by a recent publication). Thyroid hormone suppression does not always help, but is often tried.
I would repeat the FNA before surgery. Doing this under ultrasound guidance increases the yield.
Good luck, ML