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 43 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
53 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
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $44!
50% off with $19/month membership
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.