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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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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

Dr. Debra Rosenblatt
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
324 doctors shared insights

Thyroid Nodules (Definition)

Thyroid nodules are masses in the thyroid that vary in size and should be ...Read more