Doctor insights on:
Colloid Goiter Treatment
Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?
Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?
Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more
Decipher fna biopsy: benign hyperplastic/adenomatoid nodule w/ cystic hemorrhagic change. Also, prep shows follicular cells w/ macrophage and colloid?
My mom has needle aspiration biopsy and the results were: follicular neoplasm adenoma vs carcinoma; adenomatous colloid goiter with hyperplastic chang?
It could be cancer/T: Thyroid cancer can show up like this. On the other hand benign Thyroid nodules are common but FNA may not be adequate to make a correct diagnosis. You should seek an expert opinion from a Thyroid Cancer doctor. Such specialists are found in bigger Medical centers or in a Cancer hospital where you could first go to an Endocrinologist or head and Neck surgeon for advice. ...Read more
Large thyroid lumps: A 'goiter' refers to an enlarged thyroid gland. A multi-nodular goiter is usually diagnosed on an ultrasound scan when many lumps or 'nodules' are seen. Typically these are benign. 3 things to consider for nodular goiter: 1) big enough overall to cause problems with swallowing, voice, or breathing? 2) do nodules over-produce thyroid hormone? 3) are any of the larger or irregular nodules cancer? ...Read more
Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? history of cancer- can't i just get it removed prophylacticly?
Why?: Unless it represents a danger like cancer, or is a severe physical or cosmetic problem, why remove an organ "prophylactically"/ if that were true, why not also "prophylactically" remove your nose, breasts, external ears, toes, one kidney......And all the other parts of your body you don't really need that could potentially cause trouble in the future? ...Read moreSee 1 more doctor answer
Thyroid cyst: If the ultrasound and needle aspiration reveal only a thyroid cyst, it does not require surgery. Cysts can sometimes get bigger or smaller, but as long as it is not so large as to bother you, your endocrinologist can just watch it with a periodic ultrasound. ...Read more
Thyroid fnac report-atypia of undetermined significance or follicular neoplasm. What it means? Treatment?
Thyroid FNA: Hi. A follicular neoplasm of undetermined significance means the cytology doesn't meet criteria for cancer or benign, thus the "undetermined significance". Historically, most of these turn out to be benign, but a significant subset are cancer. It appears they did not do gene testing. Next step would usually be surgical excision of the nodule, frozen section analysis, then total thyroidectomy if CA ...Read more
Follicular neoplasm adenoma vs carcinoma of thyroid, if it's a possible cancer, what is the prognosis? And is radioactive iodine effective treatment?
Follicular CA thyroi: 67 F with follicular disease of thyroid. Ask about is it CA, prognosis, RAI RX? ANS: likely cancer but your team knows you best. RAI. not usually used. Likely need surgery. Tend to run in families so get detailed family tree and inform every first degree relative one Dx is clear. Surgery can cure. ...Read more
Fna on thyroid nodule shows predominately hurthle cells with follicular and colloid....34yrs old....nodule 2.7cm...hurthle cells cancer??
Exam or ultrasound: Sometimes the diagnosis can be made on the basis of the physical examination alone; in other cases an ultrasound of the thyroid may be required to demonstrate the multi nodular nature of the gland. ...Read more