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Doctor insights on: Hurthle Cells In Thyroid Biopsy

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Thyroid biopsy cold nodule showed Follicular cells 2x4cm. Being sent out for generic testing? Will this show if it's benign?

Thyroid nodules: This is a good question and not totally resolved in the thyroid cancer field. On needle aspiration, it is often impossible to distinguish between a follicular adenoma (benign) or follicular cancer. The genetic tests theoretically help make the distinction. But they are not perfect. Many doctors would send you to a good thyroid surgeon and remove a 2x4 cm thyroid nodule with follicular cells. Read more

Dr. Scott Keith
2 Doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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Thyroid biopsy was colloid only no follicular cells rad. Suggests another biopsy dr recommends seeing a surgeron dr said another biopsy would be same

Thyroid biopsy was colloid only no follicular cells rad. Suggests another biopsy dr recommends seeing a surgeron dr said another biopsy would be same

No short answer: Seeing just colloid and no follicular cells on a thyroid biopsy usually means that the nodule was mostly cystic so that thyroid tissue was not removed. A repeat biopsy by an experienced physician directed at getting thyroid tissue and not fluid could be helpful. Most people in your age group do not need surgery for this biopsy result, but rather, periodic ultrasound to look for significant chang. Read more

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It's been over a year since my last thyroid biopsy it came back with hurthle cells calcification and hypervascular but benign. Second opinion?

It's been over a year since my last thyroid biopsy it came back with hurthle cells calcification and hypervascular but benign. Second opinion?

Follow up: You need to have a repeat ultrasound to see if the nodule has changed since the last biopsy. If it's the same or getting smaller, you don't need to have another biopsy. I recommend seeing the doctor who did the original biopsy. That person knows your history and will be able to follow this nodule for you. The choice to seek a second opinion is always yours but I'm not sure it's needed at this time. Read more

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My thyroid biopsy results shows a benign follicular nodule with colloid, blood and few hurthle cells. Should I be concerned with the hurthle cells?

My thyroid biopsy results shows a benign follicular nodule with colloid, blood and few hurthle cells. Should I be concerned with the hurthle cells?

Cautious yes: Hurtle (Hurthle) cell neoplasia (HCN) seen in both in benign adenoma and malignant. In your case is in a benign follicular adenoma, due their erratic behavior most will treat them aggressively by removal. Speak to your doctor. Read more

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I had a thyroid biopsy of a single nodule which shows dysplasia. Could it still be cancer if it shows precancerous cells on biopsy?

It could be: Thyroid nodules are quite common. Many of them are benign but cancer is not uncommon in the thyroid gland. The needle biopsy can misread them. So the safest course is to have excision removal anytime there is suspicion like in your case: dysplasia, usually implies abnormal cells which can be cancerous. Read more

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Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?

MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. That's high. I would see a surgeon to discuss if this warrants thyroidectomy. Thanks Read more

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How painful is thyroid biopsy?

Depends: Usually throud biopsies are not painful. The doctor will numb the skin over the site of biopsy and use very skinny needles to perform the biopsy. Occasionally, when there is an inflammatory condition in the thyroid the biopsies can be uncomfortable. Read more

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How much pain from a thyroid biopsy?

How much pain from a thyroid biopsy?

Not much: Most thyroid biopsies are done with small needles - smaller than the needles used for blood draw. Read more

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How badly does a thyroid biopsy hurt?

How badly does a thyroid biopsy hurt?

Not bad: It depends on your pain threshold but in general, it is not more than getting your lab draw, it's just intimidating because it's a needle in the neck. It's easy enough that some docs don't even need to give you numbing medication. Read more

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What's worse an IV or thyroid biopsy?

IV: Biopsy needle is smaller than most ivs. Read more

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How much did the thyroid biopsy hurt?

How much did the thyroid biopsy hurt?

Depends: Usually throud biopsies are not painful. The doctor will numb the skin over the site of biopsy and use very skinny needles to perform the biopsy. Occasionally, when there is an inflammatory condition in the thyroid the biopsies can be uncomfortable. Read more

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Why might a thyroid biopsy be inconclusive?

Why might a thyroid biopsy be inconclusive?

Thyroid biopsy: The biopsy might be inconclusive for a number of reasons.
Evaluation of the thyroid should also be looked at by a number of other imaging studies that likely will report other issues that are more conclusive. Read more

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Can a thyroid biopsy's produce false results?

Thyroid biopsy: Hard to answer. No test is perfect. With an ultrasound-guided needle bx, the pathologist looks at the sample of cells that he gets. He may not get a good sample. In some kinds of thyroid cancer, it is hard to distinguish normal from abnormal cells. Sometimes decisions need to be made in spite of "test results", i.e. A judgement call. Talk to your endocrinologist. Read more

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Thyroid biopsy showed flus? How's it treated?

Surgical biopsy: Hi. The follicular lesion of undetermined significance may be aided by the thyroid cancer genetic panel done on the biopsy cells. Was that done? If questions remain, you will need a surgical excisional biopsy to resolve whether cancer or benign. If cancer on frozen section, completion thyroidectomy; if benign, leave the other half in and close the wound. Read more

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Return for 2nd thyroid biopsy, what can I expect?

Return for 2nd thyroid biopsy, what can I expect?

Similar to before: The ultrasound and needle biopsy is usually a routine and simple procedure. Presumably you are discussing with your doctor the reasons for the biopsy and hopefully you will get a diagnosis and treatment plan. Read more

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Anything help soothing the pain after a thyroid biopsy?

Anything help soothing the pain after a thyroid biopsy?

Yes: You should not have a lot of pain after a thyroid biopsy. Usually tylenol, (acetaminophen) non-steroidal antiinflammatory meds (ibuprofen, aleeve) is enough to take care of the pain. Read more

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What is the definition or description of: thyroid biopsy?

Needle into nodule: Thyroid glands can develop nodules and an important way to determine whether the nodule is cancerous is a needle biopsy. This is done under ultrasound guidance and uses a very fine needle. The procedure in not as bad as it may sound and is done as an outpatient. It is best done by someone who does this all the time so that adequate material is obtained for a diagnosis. Read more

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How bad does a thyroid biopsy hurt, during and afterwards?

How bad does a thyroid biopsy hurt, during and afterwards?

Not bad: This one depends on the skill of the doctor doing the biopsy. It can be scary, but the soreness lasts maybe a day or two. Read more

Dr. David Sneid
70 Doctors shared insights

Thyroid Biopsy (Definition)

Thyroid glands can develop nodules and an important way to determine whether the nodule is cancerous is a needle biopsy. This is done under ultrasound guidance and uses a very fine needle. The procedure in not as bad as it may sound and is done as an outpatient. It is best done by someone who does this all the time so that adequate material is ...Read more


Dr. Ana Adelstein
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