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Doctor insights on: Atypical Follicular Cells Thyroid Nodule Surgery Protocol

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My thyroid nodule fna came back as "benign follicularadenoma." I thought follicular growths had to be examinedthrough surgery. Are these results accurate?

My thyroid nodule fna came back as "benign follicularadenoma." I thought follicular growths had to be examinedthrough surgery. Are these results accurate?

Gray area: Thyroid fna can be difficult for a pathologist, on the limited sample, to be confident that the nodule is benign. For that reason, the pathology report may leave open the possibility that it is either benign or malignant. There is no absolute right or wrong, and it can depend on the experience and decisiveness of the examining pathologist. ...Read more

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Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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I was told I had a benign follicular adenoma after a fna on my thyroid nodule.  is it possible to know this without surgery?

Cytology: Looking at a cellular aspirate is the first line test for evaluating a thyroid nodule. It should be collected under ultrasound guidance to ensure the sample is from the nodule. The accuracy is 90%. If there are doubts, the sample slides can be reviewed by a reference expert cytologist. Additionally, molecular testing can be done on material obtained at biopsy or on the pathology slides. ...Read more

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Thyroid nodule with rare cluster ofoverlapping enlarged cells, grooves and pale chromatin. Rebiopsy or surgery? 2.9x1.1x2.2 cm

Thyroid nodule with rare cluster ofoverlapping enlarged cells, grooves and pale chromatin. Rebiopsy or surgery? 2.9x1.1x2.2 cm

You have a choice: The results you are sharing are benign. The cells were likely from a fna biopsy. The size of your thyroid nodule meets criteria for removal, greater than 2.5 cm. Okay to talk to your doc and your surgeon about risk/benefits of waiting a few months with repeat ultrasound versus surgery now to remove one side of your thyroid. Good luck. ...Read more

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What is rare histiocytes and follicular cells in thyroid nodule?

What is rare histiocytes and follicular cells in thyroid nodule?

Incomplete informat: The presence of histiocytes (a type of inflammatory cell) & expected follicular cells in thyroid is not necessarily worrisome. But it depends on your symptoms, & what prompted the biopsy / FNA to begin with. Also, did you have a radioactive iodine exam? (Called "thyroid uptake & scan")? That tells you if the follicle is "functional" or not (making hormone). A hyperfunctional nodule is more worriso ...Read more

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Can a "normal" thyroid nodule develop abnormal follicular neoplasm cells over time?

Possibly: Ghe tendency for transformation of a nodule in the thyroid gland depends on whether the nodule is solitary or multiple. The latter for the most part is a goiter and rarely if ever associated with Ca of thyroid. A solitary nodule has to be examined as to being hot or cold. If hot and functional Ca essentially doesn't occur. If the solitary nodule cold, there is a 30% chance of converting to Ca. ...Read more

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Fnac report of thyroid nodule-colloid, individual follicular cell n folliculr cell in cluster in haemorrhagic bckground. What it indicate?

Nothing: Reports states the nodule was benign which means not cancerous, hemorrhagic, there was some blood which was probably from the size of needle used so don't worry. ...Read more

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3cm hyperechoic thyroid nodule with increased vascularity, normal TSH fnac- follicular cell with hyperplastic area. What it indicates?

Uncertain: The fna can only help if it shows cancer. But in your case it is ambiguous, so your doctor should guide you what to do next?...What did he/she suggest as the next step? Most doctors would next recommend either surgical excision or monitor closely for some time and see if it is growing in size in which case it has to be taken out. ...Read more

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If I have a thyroid nodule that is suspected to be cancerous, do I have to get surgery?

If I have a thyroid nodule that is suspected to be cancerous, do I have to get surgery?

Yes: All thyroid nodules that are solitary and on scan are considered to be cold and not actively producing hormone have the potential to become malignant. As one gets older if there is a malignancy it tends to be more aggressive so that with spread to nodes there can be compliations. In the 20 age group tumors are less aggressive with cure rate high. leaving a benign adenoma can result in cancer ...Read more

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Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Biopsy: I agree. A nodule this big should be biopsied. Chance of malignancy is low but you need to do it to find out. ...Read more

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Does 4.5cm thyroid nodule require surgery?

It may: But the first step for a solid nodule of this size is usually fine needle biopsy. If the nodule is benign surgery may still be needed if the nodule causes problems with swallowing or other symptoms. ...Read more

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How can i shrink a benign thyroid nodule without any surgery?

How can i shrink a benign thyroid nodule without any surgery?

?: You are not going to shrink a nodule. But you do not necessarily need removal either. Better return to doctor to discuss your concerns ...Read more

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Should surgery be done for uncertain 3cm thyroid nodule? What are the possible complication in future if surgery is not done?

Should surgery be done for uncertain 3cm thyroid nodule? What are the possible complication in future if surgery is not done?

Biopsy: Has a biopsy been performed already? If so, and the results are uncertain, you should discuss this case with both an endocrinologist and with a surgeon. Complications from thyroid surgery are rare. Mortality from thyroid cancer is very low, but certain types of thyroid cancer can metastasize, and that is something you want to avoid. ...Read more

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Alternatives to surgery for solid thyroid nodule?

Depends: It would depend on the nature of the nodule. You may opt for a fine needle aspiration for initial diagnostic work up. If it is benign there may be no need for surgery. Do discuss the matter with your doctor. ...Read more

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Thyroid nodule "suspicious" of being cancerous, Do I need surgery?

Thyroid nodule "suspicious" of being cancerous, Do I need surgery?

Not yet: Hi. You don't need surgery yet. First you need a fine needle aspiration biopsy (FNAB). Ultrasound findings can make cancer less or more likely, but cannot confirm or exclude the diagnosis of thyroid cancer. And if it's NOT cancer, surgery would not indicated. FNAB with gene testing would be the most prudent next step in almost every case. Good luck! ...Read more

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I have a 4cm (mixed) thyroid nodule with a biopsy result of "follicular lesion". I'm a 23 year old healthy female. Is surgery the right path to take?

I have a 4cm (mixed) thyroid nodule with a biopsy result of "follicular lesion". I'm a 23 year old healthy female. Is surgery the right path to take?

Probably: The thyroid gland is one composed of glandular tissue. When a solitary lesion appears with the components representing follicles of thyroid tissue, this may be a transforming lesion. The rule is that a solitary lesion may be or converting to cancer while the presence of multiple nodules represents goiter. A solitary lesion should be resected . ...Read more

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I have a complex thyroid nodule that was much smaller but has grown to 2.9 CM (it was less than a CM 7 years ago) and I can feel it, do I need surgery?

FineNeedle aspiratio: 4-7 % thyroid nodules can be cancerous. What was your TSH levels. Was a fine needle aspiration (FNA) ever performed on this nodule? If TSH IS NORMAL get FNA! If TSH lower than normal get Nuclear Thyroid Scan. If scan shows non functioning nodule...then get FNA. If FUNCTIONING NODULE check FT4 and T3 (liothyronine) levels. Good luck. ...Read more

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Can follicular adenoma thyroid nodules be serious?

Can  follicular adenoma thyroid nodules be serious?

Yes.: A follicular adenoma may be a wolf in sheep's clothing, because cells from follicular adenomas and follicular carcinomas can look the same. Other follicular adenomas may have almost no chance of being cancers, but overproduce thyroid hormone, and need treatment to prevent harmful effects of hyperthyroidism on the bones, heart and other tissues. ...Read more

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Dr. Gary Sandler
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


Dr. Eric Whitman
338 doctors shared insights

Thyroid Nodules (Definition)

Masses in the thyroid that vary in size and should be ...Read more