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Doctor insights on: Hurthle Cell Lesion Thyroid

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Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

A wound is a condition in which a person has some trauma to part of his body in which the surface of the skin or some other organ has been broken open. Wounds include clean cuts, jagged cuts, avulsions (ripping away) of ...Read more


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1 CM solid node l thyroid lobe a mixed micro and macro- follicular lesion fna consists of follicular cells in small follicles microfollicles & small sheets displaying extensive hurthle cell changes ?

1 CM solid node l thyroid lobe a mixed micro and macro- follicular lesion fna consists of follicular cells in small follicles microfollicles & small sheets displaying extensive hurthle cell changes ?

Now benign: From your information it isa benign adenoma , hurthle cell are little larger pinkish cell , but have higher incidence of malignant transformation than follicular , to hurthle cell carcinoma , unlike follicular , it will spread to lung , bone etc, follow your doctor's advice. ...Read more

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What does benign follicular cells in mixed micro macrofollicular pattern, focal hurthle cell changes histiocytes mean? 3cm nodule on thyroid fast grow

What does benign follicular cells in mixed micro macrofollicular pattern, focal hurthle cell changes histiocytes mean? 3cm nodule on thyroid fast grow

Discuss: For a 3 CM fast growing thyroid mass, there is a higher chance of false negative with the biopsy. Not all the mass could be cancerous and the cancer spot could have been missed during fna because the mass is big at 3 cm. Most prudent step now is to follow for size changes and rebiopsy if it changes in 1 year. Depending on your age and current compressive symptoms, surgery is an option. ...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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What is the optimal TSH for a 61 year old female who 16 years ago operated thyroid gland due to hurthle cell ca. ? My TSH during all these 16 years (after the operation) was 0, 6 - 0, 4 . But two months ago I changed the original swiss medicine eltr

As : As you know, TSH (thyroid stimulating hormone) is secreted by your pituitary gland to stimulate the synthesis and release of thyroid hormones from your thyroid gland (which has been removed, in your case). Since TSH can also stimulate the growth of thyroid cancer cells, one goal of therapy for thyroid cancer patients is to suppress their TSH to the lowest possible level while keeping their triiodothyronine level (t3) within a normal range. (many physicians strive for a TSH less than 0.1 as long as the patient's T3 (liothyronine) doesn't climb higher than normal). This usually requires a levothyroxine dose between 2.2 and 2.8 mcg per kg of body weight (about 170 to 220 mcg for a 172 lb individual). I hope that helps! ...Read more

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32 years old male. Thyroid Bilateral Multiple nodule, The largest size is 1.5*1.78*0.839 cm. Three times FNA. Result is No EVIDENCE OF MALIGANCY. Comment: Follicular cell, Hurthle cell and colloid are seen. I worry about the Hurthle cell. My Surgeons only

32 years old male. Thyroid Bilateral Multiple nodule, The largest size is 1.5*1.78*0.839 cm. Three times FNA. Result is No EVIDENCE OF MALIGANCY. Comment: Follicular cell, Hurthle cell and colloid are seen. I worry about the Hurthle cell. My Surgeons only

Thyroid nodules: Usually we worry about a solitary nodule in a male and it appears that you are in good hands and the biopsies are reassuring. For further reassurance we depend on a combination of an endocrinologist or thyroidologist and a surgeon skilled in thyroid surgery reviewing your findings and I would be quite comfortable with their advice and follow-up. ...Read more

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I recently had a FNA of my thyroid nodule. The results showed "benign, hyperplastic nodule with extensive Hurthle cell metaplasia". Should I worry?

I recently had a FNA of my thyroid nodule. The results showed "benign, hyperplastic nodule with extensive Hurthle cell metaplasia".  Should I worry?

Needs surgery: see your doctor. You need a referral to a surgeon. Hurtle cell can be benign or malignant. It is impossible to tell whether it is benign or cancerous on a fine needle aspiration. You need surgery to remove that side of your thyroid in order to know100% if it is one or the other. ...Read more

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I have hashimoto thyroidism, pituitary tumor, seizures, lesion on my brain and had multiple concussions. My calves are hurting bad what could this be?

I have hashimoto thyroidism, pituitary tumor, seizures, lesion on my brain and had multiple concussions. My calves are hurting bad what could this be?

Wow- a lot!: This can either be as simple as muscular if you have had any changes in excercise or even trauma (fall, seizure). Or it can be neurological, neuropathic pain due to your comorbidities or even the brain lesion. Or vascular such as a DVT or blood clot in your veins. I would recommend that you get evaluated at your earliest convenience. ...Read more

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How do I know if I have thyroidism?

TFT's: Thyroid disorders are usually diagnosed via blood test and clinical symptoms. Thyroid function tests include measuring blood levels of TSH (thyroid stimulating hormone) and thyroid hormone levels (t3 (liothyronine) and t4). ...Read more

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Dr. Daniel Saurborn
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