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Doctor insights on: Treatment Of Hurthle Cell Metaplasia Thyroid

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Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?

Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?

Size matters: Depending on size and charevteristics most would recommend a total thyroid and possible radioactive iodine. Speak to your surgeon and endocrinologist. ...Read more

Metaplasia (Definition)

Metaplasia is thought to be an adaptation of the body that replaces one type of cell with another, usually caused by some sort of stress. Metaplasia is not cancerous, per se, but depending on the circumstances, may be a very early step in the process of a ...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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My fna of thyroid revealed groups of epithelial cells in macrofollicular patterns. Are these bad/pre-cancer cells? What should follow up treatment be?

Ask your doctor.: Epithelial cells in macrofollicular patterns are usually benign thyroid cells and are usually not associated with a premalignant or malignant process. This is good news. Ask the doctor who ordered the fna to help you interpret the report and to answer your questions. That person will be able to give you information in the context of your personal clinical setting. ...Read more

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How effective is radiation treatment for squamous cell head and neck cancer?

How effective is radiation treatment for squamous cell head and neck cancer?

Depends: Head and neck cancer is very complex and treatments vary depending on where it is and also what stage it is (among other things). Your head and neck cancer surgeon and radiation oncologist should be able to help you. ...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

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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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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Can you tell me why after radiation treatment for an over active thyroid the meds still don't work well and can't be regulated?

Not true.: Medications work very well for both overactive and underactive thyroid. Problems with regulation are related to your dosing or to the adequacy of the ablation. Those should be easy to figure out. ...Read more

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I have hyper thyroid. My weight is 42 kgs and I am 26 years old. I used to take neomercazole but my weight didn't increase. Plz suggest treatment?

I have hyper thyroid. My weight is 42 kgs and I am 26 years old. I used to take neomercazole but my weight didn't increase. Plz suggest treatment?

See Dr. First, then:: If one is truly underweight (based on height, family background, and body type), a Dr. Can evaluate for a hormonal, digestive, or other disorder. If no medical cause is found, then one can add weight by eating more calories of nutritious foods, while also doing weight-training to increase muscle. Proteins: egg white, chicken breast, salmon, . .. Better fats: olive oil, peanuts, almonds, tofu, . ... ...Read more

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I sweat when im not doing anything. I've got my thyroid checked twice and didn't need any treatment. What could be wrong with me?

I sweat when im not doing anything. I've got my thyroid checked twice and didn't need any treatment. What could be wrong with me?

Sweating out toxins: Fyi: admittedly, hyperhidrosis can really be a drag. On the other hand, it is better to sweat "too much" than "not enough, " because sweating (because it allows for the excretion of lipophilic, i.e., fat-loving, toxins) is one of the best ways to rid the body of toxins (detoxify). In addition to the skin, other organs of excretion include the gastrointestinal system, the kidneys, and the lungs. ...Read more

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Is it easy to get treatment for thyroid conditions?

Is it easy to get treatment for thyroid conditions?

Yes: I would start first with your primary care physician. Usually a blood test is needed. If a true thyroid problem is found, your primary care physician can treat you or refer you to specialists as needed. ...Read more

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Please explain pancreatic metaplasia and treatment if any?

Please explain pancreatic metaplasia and treatment if any?

Harmless curiosity: Maybe one esophagogastric-junction biopsy in four shows a few glands trying to make a teeny-weeny pancreas for you. The pathologist decided to mention it. It's of no concern whatever -- less of a danger than freckles. Best wishes. ...Read more

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Which treatment for thyroid pain is the very best?

Which treatment for thyroid pain is the very best?

Depends on cause: The treatment can vary depending on the cause and can range from nsaids to surgery.

See your pcp or an endocrine specialist. ...Read more

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What treatment be given for low thyroid production?

What treatment be given for low thyroid production?

Replacement: The only known successful treatment for low thyroid production is taking the hormone by mouth. I myself have found adjunctive treatments to be useful for some of the symptoms including magnesium and vitamin d. ...Read more

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Can your thyroid return to normal after radiation treatment?

Can your thyroid return to normal after radiation treatment?

No: If it is radiation to the thyroid, it never becomes normal and need to have life long thyroid supplementation. ...Read more

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Is a thyroid scan and raidioactive throid treatment the same?

No: A thyroid scan is a study that exposes you to a small amount of radiation and allows the radiologist to see images of the thyroid. A radioactive thyroid treatment is when you are given very large amounts of radiation in order to "kill" the overactive thyroid or thyroid cancer. ...Read more

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If your thyroid is underactive, can it get better without treatment?

If your thyroid is underactive, can it get better without treatment?

IN A WAY: If there's no other problem you can replace the hormone not being produced with thyroid medication. You want a dr to diagnose and prescribe. ...Read more

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Is a thyroid nuclear scan considered to be a treatment or just a test?

Is a thyroid nuclear scan considered to be a treatment or just a test?

Just a test: A thyroid uptake and scan is used to aid the differential diagnosis of newly diagnosed thyrotoxicosis and ideally should use i-123 as the radiopharmaceutical (low energy isotope for testing). If the test shows increased thyroid function such as in grave's disease or multi-nodular goiter i-131 can be use to ablate the thyroid gland if this is desire. ...Read more

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What treatment options are available for a mildly hyperactive thyroid?

What treatment options are available for a mildly hyperactive thyroid?

Thyroid: Antithyroid drugs like ptu (propylthiouracil) or Methimazole can control hyperthyroidism. More radical solutions include surgical removal or radioactive iodine ablation. ...Read more

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I am low thyroid, just started treatment, how long before I feel better?

I am low thyroid, just started treatment, how long before I feel better?

Can take weeks: Depending on how hypothyroid you are, it may take several weeks to get back to normal. However, often people start feeling better within a few weeks of treatment. ...Read more

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Can you please tell me if I will gain weight after hyperactive thyroid treatment?

Sometimes: Discuss with your endocrinologist. Ask about a dietary plan, exercise plan. Also I would suggest a sleep log since good sleep is essential for recovery. Do you have other medical problems and medications which you take for those conditions. All of this needs to be taken into account. ...Read more

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If I am on treatment of my thyroid, can I kiss or have smooch with my bf? Are there any side effects of it?

If I am on treatment of my thyroid, can I kiss or have smooch with my bf? Are there any side effects of it?

Thyroid problem: Being treated for hypo or hyperthyroidism will have no effect on your sex life, if your thyroid function is normal with the treatment you are on. Enjoy. ...Read more

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What is the treatment and long term prognosis of someone with a hyalinizing trabecular tumor of the thyroid?

What is the treatment and long term prognosis of someone with a hyalinizing trabecular tumor of the thyroid?

HTT: Or hyalinizing trabecular tumor is a rare and controversial thyroid lesion as to whether it is benign or malignant. For the most part, it is believed to be a benign lesion with low likelihood for malignant potential and current recommendations is for a lobectomy and clinical follow-up and surveillance. ...Read more

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Can u please tell me a little more about hyalinizing trabecular tumor of thyroid. What is treatment and prognosis?

Thyroid HTT: Hyalinizing trabeculer tumor (htt) of the thyroid is a fairly rare tumor, considered by most to be benign, with an excellent prognosis. See http://www. Ncbi. Nlm. Nih. Gov/pubmed/18813121. Usually surgical treatment is definitive. ...Read more

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I have two thyroid nodgules 1.9cm and 2.1cm I have had nuclear scan and biopsy both came back noncancerous. What would be next treatment if get bigge?

If they grow: Hi. If the nodules get bigger, they should be needle biopsied again. Even if they stay the same size, some people would routinely biopsy again in a year or so. But grown is a definite need to re-biopsy. Good luck! ...Read more

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What is treatment for thyroid cancer?

What is treatment for thyroid cancer?

Surgery: A surgery named total thyroidectomy is the mainstay of therapy for thyroid cancer. This may be done with or without a central neck dissection depending on your particular surgeon's prefrences and how aggressive your particular thyroid cancer may be. After surgery depending on multiple factors you may or may not receive radioactive iodine ablation. ...Read more

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What is the treatment of thyroid cancer?  

What is the treatment of thyroid cancer?  

Surgery: Thyroid cancer is treated surgically by removal of all the thyroid or a portion of the thyroid. After surgery, patients at higher risk of recurrence or with more aggressive cancers may be treated with radioactive iodine. Rarely, external radiation or chemotherapy is added in very severe cases. ...Read more

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My thyroid TSH value is 10.8. What should be the treatment taken?

Levothyroxine: A doctor should evaluate you first but levothyroxine is typically the medication given. You will find yourself with more energy and less weight gain. I strongly recommend medical management by a medical doctor. ...Read more

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Can P.O.T.S. Be a 'side effect' of Thyroid issues such as hashimoto? Would treatment be the same? Modified lifestyle and meds? Of diff cause diff fix?

Can P.O.T.S. Be a 'side effect' of Thyroid issues such as hashimoto? Would treatment be the same? Modified lifestyle and meds? Of diff cause diff fix?

Many issues: You offer so many unrelated issues (not your fault) but your doctor (s) don't seem to care. Ask around your friends who might have better doctors to look after you.

Please keep me posted. ...Read more

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What is the treatment of squamous metaplasia?

What is the treatment of squamous metaplasia?

No standard treatmen: This is not a cancer but precancerous change. Sometimes it can be excised (if it is not too extensive). Otherwise there is no good solution except monitor closely for any further change or cancer development. ...Read more

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How long for thyroid treatment to work?

Thyroid Meds: Thyroid medication starts working right away. It reaches a steady state after about 6 weeks.

It really depends on what is going on with your thyroid, too. ...Read more

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What should I choose for thyroid treatment?

Unclear question: You do not say whether you are being treated for hyper or hypothyroidism (overactive or underactive), or a goiter or a nodule. Please rephrase your question with more specifics about what kind of thyroid treatment. ...Read more

Dr. Adam Lewis
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