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Doctor insights on: Follicular Neoplasm Of The Thyroid

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Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


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Follicular neoplasm adenoma vs carcinoma of thyroid, if it's a possible cancer, what is the prognosis? And is radioactive iodine effective treatment?

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

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Please would like to know what is meant by thyroid shows well defined follicular neoplasm composed of cells with granular cyloplasm , is it cancer?

Please would like to know what is meant by thyroid shows well defined follicular neoplasm composed of cells with granular cyloplasm , is it cancer?

Need to discuss: With your doctor/endocrinologist. Need more information such as clinical picture, ultrasound results, lab tests etc. This is too important to get diagnosed over the internet. ...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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My sister had a benign neoplasm of the thyroid. Is it possible that benign neoplasms run in the family?

My sister had a benign neoplasm of the thyroid. Is it possible that benign neoplasms run in the family?

Yes, possible: Hi. The genetics of benign thyroid adenomas is not understood. More is known about genes associated with thyroid malignancies, and there are a multitude of genes that can be associated with the cancers. But like any phenotype (benign adenoma, in this case), the phenotype is a result of interaction between genes and environmental factors. So yes, it's possible (but not probable in my experience). ...Read more

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I was wondering if thyroidectomy the only way to determine if a papillary lesion / follicular neoplasm is benign or malignant?

I was wondering if thyroidectomy the only way to determine if a papillary lesion / follicular neoplasm is benign or malignant?

No/Yes: Papillary cancers can usually be diagnosed by fine needle aspiration biopsy (fnab) preoperatively. In contrast, the distinction between a benign and malignant follicular neoplasm can only be determined by removing the thyroid lobe that contains the nodule. In these situations, the pathologist is looking for cellular invasion into blood vessels or the capsule of thyroid: this cannot be seen by fnab. ...Read more

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Solitary, solid nodule with intranodular flow and follicular neoplasm cells. Afirma came back suspicious. What's likelyhood of malignancy?

Solitary, solid nodule with intranodular  flow and follicular neoplasm cells. Afirma came back suspicious. What's likelyhood of malignancy?

Ask your doctor: The doctor who ordered your biopsy has responsibility to explain to you the meaning of the results. If the biopsy shows neoplastic cells, that usually means Cancer cells. But you should get this clarification from your doctor. ...Read more

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Fnac report follicular neoplasm. Is it ok if i postponed my surgery for 4 months?

Fnac report follicular neoplasm. Is it ok if i postponed my surgery for 4 months?

BAD idea: Forgive my frankess. I hope this is benign as most of these are. But if this is follicular carcinoma, you're inviting it to spread to your lungs, which will make a cure impossible. Do you want to die? ...Read more

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My 2 consectv fnac report reveal follicular neoplasm with microfollicular pattern, with anisonuecleosis, no colloid. Is it benign or malignant?

My 2 consectv fnac report reveal follicular neoplasm with microfollicular pattern, with anisonuecleosis, no colloid. Is it benign or malignant?

Follicular lesions: FNA cannot differentiate between benign and malignant follicular lesions. Evidence of capsular or lymph/vascular invasion are necessary to diagnose follicular carcinoma. FNA can help determine if surgery is needed to further classify a lesion, or if a "wait and watch" approach is warranted. For definitive diagnosis, the nodule has to be removed and examined by a pathologist. Hope this helps! ...Read more

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Thyroid fnac report-atypia of undetermined significance or follicular neoplasm. What it means? Treatment?

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

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Thyroid nodule came back negative but cells are suspicious for hurthle cell neoplasm. What does that mean?

Thyroid nodule came back negative but cells are suspicious for hurthle cell neoplasm. What does that mean?

Surgical biopsy: Hi. Going just on what you've told us, you probably need a surgical biopsy. A Hurthle cell neoplasm can be either benign or cancer, and the cytopathology often cannot make the distinction. Therefore, to exclude or confirm cancer will require a surgical biopsy. But I don't have the data. Your doc will tell you what's needed. Good luck! ...Read more

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Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Second opinion: If after a thyroidectomy, your local pathologist still can't differentiate between goiter or cancer ask your doc to request the pathologist to send the tissue to a bigger referral institution for a second opinion. ...Read more

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I have a follicular neoplasm that is scheduled to be removed the end of this month. I now feel like I am getting strep throat. Is this an emergency?

I have a follicular neoplasm that is scheduled to be removed the end of this month.  I now feel like I am getting strep throat.  Is this an emergency?

No.: Follicular neoplasms are common and slow growing ( most all cancers are slow growing) Things like this get scheduled "end of the month" because they aren't going anywhere before then. They do not "blow up" or spread in the interim. Sore throat usually usually viral but occasionally bacterial - such as strep. Sore throat should be treated independently of the neoplasm. ...Read more

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Cana follicular thyroid lesion turn malignant?

Cana follicular thyroid lesion turn malignant?

Follicular cancer: Follicular thyroid cancer the second most common cancer, after papillary. A thyroid nodule over 2.0 cm, positive/suspicious fna or symptoms are indications for thyroid lobe resection. Final pathology is often where a cancer diagnosis is made. Follicular thyroid cancer is treatable and has a good prognosis. So yes, it can turn into cancer, you need to be monitored closely. Okay to see surgeon. ...Read more

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Cn thyroid scan diffrentiate between benign n malignant follicular neoplsm?

NO : Hi. Nope, you need tissue (cells). Either an FNA for cytology (which may be non-diagnostic) or a surgical biopsy. Scan adds nothing to the diagnostic evaluation ...Read more

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If follicular epithelial cells are present is surgery to remove the thyroid necessary?

If follicular epithelial cells are present is surgery to remove the thyroid necessary?

Follicular lesion: I assume you had a needle biopsy that identified follicular cells and your doctor is recommending removal of that lobe. A needle biopsy is not able to differentiate between a benign or malignant follicular tumor so surgery is the usual recommendation to clarify that situation. ...Read more

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Dr. Krishna Kumar
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