Australia
A 32-year-old female asked:
3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. cancer?
2 doctor answers • 2 doctors weighed in
Dr. David Sneidanswered
Endocrinology 42 years experience
Afirma: You need a repeat biopsy with an afirma assay to screen more critically for possible malignancy. Surgery may be necessary if worrisome changes on ultrasound continue.
5.1k viewsAnswered >2 years ago
Dr. Nagesh Ragavendraanswered
52 years experience
Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.)
3.6k viewsAnswered >2 years ago
Last updated Oct 25, 2014
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